Organization · NPI-2

Valley Psychological Center

Clinic/Center, Multi-Specialty · Brawley, CA

NPI number1023589769

StatusActive

Last updated in NPPESDec 6, 2018

Details

NPI: 1023589769
Entity type: Organization (NPI-2)
Legal business name: Valley Psychological Center
Organization subpart: No
Enumeration date: Dec 6, 2018
Last updated: Dec 6, 2018

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QM1300X	Clinic/Center, Multi-Specialty	–	–	Yes
103T00000X	Psychologist	–	–
251B00000X	Case Management	–	–
251S00000X	Community/Behavioral Health	–	–
261Q00000X	Clinic/Center	–	–
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–
261QM0855X	Clinic/Center, Adolescent and Children Mental Health	–	–
261QM1000X	Clinic/Center, Migrant Health	–	–
261QR0405X	Clinic/Center, Rehabilitation, Substance Use Disorder	–	–
3245S0500X	Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children	–	–

Practice location

537 Main St
Brawley, CA 92227-2423

Phone 619-203-5336

Mailing address

302 Washington St # 754
San Diego, CA 92103-2110

Phone 619-203-5336 · Fax 619-684-3230

Authorized official

Stacey Hoyt
Owner
6192035336

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