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IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES NPI 1497275291


NPI Information

NPI: 1497275291
Provider Name: IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES

Other Name: ADOLESCENT HABILITATIVE LEARNING PROGRAM

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 05D0572174

Address:
1001 W BRIGHTON AVENUE RM 22
EL CENTRO, CA
ZIP 92243
Phone: (442) 265-1940
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IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES is a mental health (including community mental health center) clinic center in El Centro, CA. IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES NPI is 1497275291. The provider is registered as an organization entity type.
The provider Other Name Is Adolescent Habilitative Learning Program.

The provider's business location address is:

1001 W BRIGHTON AVENUE RM 22
EL CENTRO, CA
ZIP 92243-110
Phone: (442) 265-1940

The provider's authorized official is Hilda Rodriguez .
The authorized official title is Administrative Analyst and has the following contact phone number (442) 265-1546.

The CLIA number assigned to this NPI record is 05D0572174 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2017 and was last updated on 8/4/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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