Full Name | |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1535 Main St, Brawley, California |
Authorized Official Name and Position | Michael W Horn (DIRECTOR) |
Authorized Official Contact | 7604824068 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
202 N 8th St El Centro CA 92243-2302 Ph: (760) 482-4000 | 1535 Main St Brawley CA 92227-9424 Ph: (760) 482-4000 |
NPI Number | 1043612245 |
---|---|
Provider Enumeration Date | 09/18/2014 |
Last Update Date | 09/18/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043612245 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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