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Organization
NEW BRANCHES 4 LIFE
Active
Organization
NEW BRANCHES 4 LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH C JONES (SUPERVISOR)
(661) 325-2732
Entity
Organization
Contact information
Practice address
1415 18TH ST STE 522, BAKERSFIELD, CA 93301-4443
(661) 325-2732
Mailing address
1415 18TH ST STE 522, BAKERSFIELD, CA 93301-4443
(661) 325-2732
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
302R00000X
Health Maintenance Organization
—
—
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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