Organization
COUNTY OF MADERA
Active
Other names
BHS 7th Street SUD
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS P KOCH MPA (DIRECTOR BEHAVIORAL HEALTH SERVICES)
(559) 673-3508
Entity
Organization
Contact information
Practice address
209 E 7TH ST, MADERA, CA 93638-3780
(559) 673-3508
(559) 675-4999
Mailing address
PO BOX 1288, MADERA, CA 93639-1288
(559) 673-3508
(559) 675-4999
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20AA
DRUG MEDICAL NUMBER
—
Enumeration date
02/21/2007
Last updated
12/02/2014
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