Organization
IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES
Active
Parent organization
IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES
Other names
Adolescent ODF
Organization subpart
Yes
Provider details
NPI number
Legal business name
IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES
Authorized official
MR. MICHAEL W. HORN MFT (DIRECTOR)
(760) 482-4112
Entity
Organization
Contact information
Practice address
1295 W STATE ST, 101-106, EL CENTRO, CA 92243-2845
(760) 353-0763
Mailing address
202 N 8TH ST, EL CENTRO, CA 92243-2302
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
12/13/2013
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