Organization · NPI-2

Imperial County Behavioral Health Services

Clinic/Center, Mental Health (Including Community Mental Health Center) · Brawley, CA

NPI number1043612245
StatusActive
Last updated in NPPESSep 18, 2014

Details

NPI
1043612245
Entity type
Organization (NPI-2)
Legal business name
Imperial County Behavioral Health Services
Organization subpart
Yes
Enumeration date
Sep 18, 2014
Last updated
Sep 18, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Other names

  • Youth And Young Adults Brawley Anxiety And Depression Clinic And Fsp (Other Name)

Practice location

1535 Main St
Brawley, CA 92227-9424

Phone 760-482-4000

Mailing address

202 N 8th St
El Centro, CA 92243-2302

Phone 760-482-4000

Authorized official

Michael W Horn
Director
7604824068

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