ICBHS NPI 1619094984

NPI Information

  • NPI: 1619094984
  • Provider Name: ICBHS
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 1295 W STATE ST
    STE. 102
    EL CENTRO, CA
    ZIP 92243
  • Phone: (760) 353-0763

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NPI Details

ICBHS is an addiction (substance use disorder) counselor in El Centro, CA. ICBHS NPI is 1619094984. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1295 W STATE ST
STE. 102
EL CENTRO, CA
ZIP 92243-845
Phone: (760) 353-0763

The provider's authorized official is Gary Garrison .
The authorized official title is Substance Aubse Counselor Ii and has the following contact phone number (760) 353-0763.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 8/22/2020.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)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: 11/21/2025

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