Organization · Type 2 NPI

Imperial County Behavioral Health Services

Substance Use Disorder Rehabilitation Clinic/Center · El Centro, CA

NPI number 1144666520 Active

Practice location

2695 S 4th St Fl 2
El Centro, CA 92243-6012

Call (760) 482-4000 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	None listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

2 other providers at this address

Lupe Lee WatersRehabilitation Counselor El Centro, CA NPI 1861538134
Matthew Thurman SmithDay Training/Habilitation Specialist El Centro, CA NPI 1346074929

Other substance use disorder rehabilitation clinic/center providers in El Centro

See all in El Centro →

NPI record

NPI: 1144666520
Entity type: Organization (Type 2)
Issued: May 13, 2013
Last updated: Dec 16, 2013
Status: Active
Subpart: Yes of Imperial County Behavioral Health Services

Other names

<unavail>
Adult Odf Recovery Center · other name

Authorized official

Mr. Michael W Horn, MFT
Directory
(760) 482-4000

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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 1144666520

Imperial County Behavioral Health Services's National Provider Identifier is 1144666520, issued on May 13, 2013. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in El Centro, CA. The record was last updated on Dec 16, 2013.