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Organization
BLYTHE COMMUNITY MENTAL HEALTH CENTER
Active
Organization
BLYTHE COMMUNITY MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMRAN SHIRAZI (COO)
(714) 905-6065
Entity
Organization
Contact information
Practice address
3218 E HOLT AVE STE 200, WEST COVINA, CA 91791-2310
(714) 905-6065
Mailing address
3218 E HOLT AVE STE 200, WEST COVINA, CA 91791-2310
(714) 905-6065
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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