Organization
MH DETENTION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE TRAN LMFT (MENTAL HEALTH SERVICE SUPERVISOR)
(951) 922-7820
Entity
Organization
Contact information
Practice address
1627 S HARGRAVE ST, BANNING, CA 92220-6169
(951) 922-7820
Mailing address
1627 S HARGRAVE ST, BANNING, CA 92220-6169
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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