Organization · NPI-2

Imperial County Behavioral Health Services

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

NPI number1235357203
StatusActive
Last updated in NPPESJan 10, 2023

Details

NPI
1235357203
Entity type
Organization (NPI-2)
Legal business name
Imperial County Behavioral Health Services
Organization subpart
Yes
Enumeration date
Apr 23, 2007
Certification date
Jan 10, 2023
Last updated
Jan 10, 2023

Taxonomy and licenses

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

Other names

  • Brawley Vista Sands (Other Name)

Practice location

1401 B St
Brawley, CA 92227-2014

Phone 760-482-4000

Mailing address

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

Authorized official

Leticia Plancarte-Garcia
Director
4422651604

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