Organization
BH-IC OPCO, LLC
Active
Other names
Jackson House El Centro
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD ENGBRECHT (VICE PRESIDENT)
(858) 254-2510
Entity
Organization
Contact information
Practice address
2364 SOUTH 2ND STREET, EL CENTRO, CA 92243-9653
(858) 254-2510
Mailing address
7050 PARKWAY DR, LA MESA, CA 91942-1535
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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