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Organization

COUNTY OF MARIPOSA

Active
Parent organization
MARIPOSA COUNTY BEHAVIORAL HEALTH & RECOVERY
Other names
Mariposa County HHSA Community Health Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
MARIPOSA COUNTY BEHAVIORAL HEALTH & RECOVERY
Authorized official
RANDALL RIDENHOUR (SR. ADMINISTRATIVE ANALYST)
(209) 966-2000
Entity
Organization

Contact information

Practice address
5300 STATE HIGHWAY 49N, MARIPOSA, CA 95338
(209) 966-3689
Mailing address
PO BOX 5, MARIPOSA, CA 95338-0005
(209) 966-3689

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
11/04/2019
Last updated
11/04/2019
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