Organization
WOMANHAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA VARGAS (EXECUTIVE DIRECTOR)
(760) 353-6922
Entity
Organization
Contact information
Practice address
104 N 5TH ST, EL CENTRO, CA 92243-2404
(760) 337-3915
Mailing address
PO BOX 2219, EL CENTRO, CA 92244-2219
(760) 337-3915
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/26/2021
Last updated
11/26/2021
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