Organization
IKERN COUNTY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACI MICHELLE MURILLO (CASE COORDINATOR)
(661) 868-1800
Entity
Organization
Contact information
Practice address
2525 N CHESTER AVE, BAKERSFIELD, CA 93308-1770
(661) 868-1800
(661) 868-1801
Mailing address
PO BOX 1000, BAKERSFIELD, CA 93302-1000
(661) 868-1800
(661) 868-1801
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
RECOVERY SPECIUALIST I
CA
Enumeration date
11/11/2008
Last updated
11/11/2008
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