Organization Name: | VILLAGE COUNSELING |
NPI Number: | 1659555902 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JERRY MEINTS (DIRECTOR) |
Mailing Address: | 51800 Harrison St Coachella |
State: | CA US |
Postal Code: | 922361500 |
Phone Number: | 7603988055 |
Fax Number: | 7603988766 |
NPI Enumeration Date: | 12/21/2007 |
NPI Last Update Date: | 12/21/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MFT14133 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |