Organization
COUNTY OF MADERA
Active
Other names
BHS Casa Grande
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLEE HERNANDEZ (MHP/COMPLIANCE AA II)
(559) 673-3508
Entity
Organization
Contact information
Practice address
12390 GOLDEN STATE BLVD, MADERA, CA 93637-9156
(559) 673-3508
(559) 661-2818
Mailing address
PO BOX 1288, MADERA, CA 93639-1288
(559) 673-3508
(559) 661-2818
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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