Organization Name: | COUNTY OF KERN |
NPI Number: | 1003096280 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES WATERMAN (INTERIM DIRECTOR) |
Mailing Address: | 3416 Sillect Ave Bakersfield |
State: | CA US |
Postal Code: | 933086363 |
Phone Number: | 6613226624 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2007 |
NPI Last Update Date: | 07/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |