Organization
COUNTY OF TULARE
Active
Other names
Porterville Adult Mental Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE BOLIN (DIRECTOR OF MENTAL HEALTH)
(559) 624-7445
Entity
Organization
Contact information
Practice address
1055 W HENDERSON AVE, PORTERVILLE, CA 93257-1490
(559) 788-1200
(559) 782-3910
Mailing address
5957 S MOONEY BLVD, VISALIA, CA 93277-9394
(559) 624-8000
(559) 737-4697
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000005429
—
CA
Enumeration date
07/10/2006
Last updated
07/01/2024
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