Organization
COUNTY OF MERCED
Active
Other names
BHRS Los Banos Alcohol and Drug Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KURT CRAIG CIPP/US (COMPLIANCE OFFICER)
(209) 381-6818
Entity
Organization
Contact information
Practice address
40 W G ST STE A-E, LOS BANOS, CA 93635-3657
(209) 710-6110
Mailing address
PO BOX 2087, MERCED, CA 95344-0087
(209) 381-6800
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2011
Last updated
08/08/2019
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