Organization
COMMUNITY SERVICE ORGANIZATION BEHAVIORAL HEALTH PROGRAMS
Active
Other names
De Colores Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWAYNE ANTHONY GOTAY SR. E.D. (EXECUTIVE DIRECTOR)
(661) 845-3753
Entity
Organization
Contact information
Practice address
10420 MAIN ST, LAMONT, CA 93241-1727
(661) 845-3753
(661) 845-4866
Mailing address
PO BOX 3067, BAKERSFIELD, CA 93385
(661) 845-3753
(661) 845-4866
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/08/2007
Last updated
10/28/2014
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