Organization · Type 2 NPI
Emotional and Behavioral Helath Services
Clinic/Center · Copperopolis, CA
NPI number
1487986519
Active
Practice location
1165 Ranch Rd
Copperopolis, CA 95228
Mailing address
PO Box 189
Copperopolis, CA 95228-0189
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 12670 (CA) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1487986519
Emotional and Behavioral Helath Services's National Provider Identifier is 1487986519, issued on Jan 29, 2010. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Copperopolis, CA. The record was last updated on Jan 29, 2010.