# WILD IRIS FAMILY COUNSELING & CRISIS CENTER

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

## Provider details

- **NPI number:** 1629812078
- **Authorized official:** VANESSA HAYS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (760) 873-9222

## Contact information

- **Practice address:** 150 N MAIN ST, BISHOP, CA 93514-2737
- **Practice address phone:** (760) 873-9222
- **Mailing address:** PO BOX 697, BISHOP, CA 93515-0697

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/20/2024
- **Last updated:** 06/20/2024