Community Service Organization Behavioral Health Programs

NPI 1053524405 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1053524405
Enumeration Date 05/08/2007
Last Updated 10/28/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DWAYNE ANTHONY DWAYNE
Position EXECUTIVE DIRECTOR
Phone (661) 845-3753
Fax (661) 845-4866
Practice Location
10420 MAIN ST
LAMONT CA, 93241-1727, US
Phone (661) 845-3753
Fax (661) 845-4866
Business Location
PO BOX 3067
BAKERSFIELD CA, 93385, US
Phone (661) 845-3753
Fax (661) 845-4866
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Community Service Organization Behavioral Health Programs NPI is 1053524405, taxonomy code is 251S00000X Community Service Organization Behavioral Health Programs physically located at 10420 Main St, Lamont CA, 93241-1727. NPI Number 1033115704 has the healthcare provider type.

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1053524405 NPI number is provided on an as is basis without warranty of any kind. 1053524405 is maintained by the National Plan & Provider Enumeration System. The contents of Community Service Organization Behavioral Health Programs are for informational purposes only.