Organization Name: | MONO COUNTY BEHAVIORAL HEALTH |
NPI Number: | 1538266911 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBIN K. ROBERTS (BEHAVIORAL HEALTH DIRECTOR) |
Mailing Address: | 452 Old Mammoth Road 3rd Floor Mammoth Lakes |
State: | CA US |
Postal Code: | 935462619 |
Phone Number: | 7609241740 |
Fax Number: | 7609241741 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 01/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |