Organization Name: | IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES |
NPI Number: | 1679795710 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL HORN (DIRECTOR) |
Mailing Address: | 2300 Rockwood Ave Rooms 28 & 30 Calexico |
State: | CA US |
Postal Code: | 922311726 |
Phone Number: | 7604824000 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 09/09/2013 |
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: |