Organization · Type 2 NPI

Imperial County Behavioral Health Services

Mental Health Clinic/Center (Including Community Mental Health Center) · Brawley, CA

NPI number 1043612245 Active

Practice location

1535 Main St
Brawley, CA 92227-9424

Call (760) 482-4000 Map

Mailing address

202 N 8th St
El Centro, CA 92243-2302

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

Another provider at this address

Venessa Marie JuradoRehabilitation Counselor Brawley, CA NPI 1508367236

Other mental health clinic/center (including community mental health center) providers in Brawley

See all in Brawley →

NPI record

NPI: 1043612245
Entity type: Organization (Type 2)
Issued: Sep 18, 2014
Last updated: Sep 18, 2014
Status: Active
Subpart: Yes of Imperial County Behavioral Health Services

Other names

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Youth and Young Adults Brawley Anxiety and Depression Clinic and FSP · other name

Authorized official

Mrs. Michael W Horn, MFT
Director
(760) 482-4068

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043612245

Imperial County Behavioral Health Services's National Provider Identifier is 1043612245, issued on Sep 18, 2014. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Brawley, CA. The record was last updated on Sep 18, 2014.