# MORONGO BASIN MENTAL HEALTH SERVICES ASSOC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194811000
- **Authorized official:** DR. SARAH RUSHBROOK PHD (CLINICAL DIRECTOR)
- **Authorized official phone:** (760) 365-3022

## Contact information

- **Practice address:** 55475 SANTA FE TRL, YUCCA VALLEY, CA 92284-3117
- **Practice address phone:** (760) 365-3022
- **Practice address fax:** (760) 365-3513
- **Mailing address:** 55475 SANTA FE TRL, YUCCA VALLEY, CA 92284-3117
- **Mailing address phone:** (760) 365-3022
- **Mailing address fax:** (760) 365-3513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 08/22/2020