Organization · NPI-2
Imperial County Behavioral Health Services
Clinic/Center, Mental Health (Including Community Mental Health Center) · Brawley, CA
NPI number1396167409
StatusActive
Last updated in NPPESJun 7, 2022
Details
- NPI
- 1396167409
- Entity type
- Organization (NPI-2)
- Legal business name
- Imperial County Behavioral Health Services
- Organization subpart
- Yes
- Enumeration date
- Jan 8, 2014
- Certification date
- Jun 7, 2022
- Last updated
- Jun 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- Adult Brawley Mhsa Fsp/Anxiety And Depression Clinic (Other Name)
Practice location
229 Main StBrawley, CA 92227-2305
Phone 442-265-1525
Mailing address
229 Main StBrawley, CA 92227-2305
Phone 442-265-1525
Authorized official
Hilda Rodriguez
Administrative Analyst
4422651546
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