Organization
HENRIETTA WEILL MEMORIAL CHILD GUIDANCE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CAMARA (EXECUTIVE DIRECTOR)
(661) 322-1021
Entity
Organization
Contact information
Practice address
3628 STOCKDALE HWY, BAKERSFIELD, CA 93309-2153
(661) 322-1021
(661) 322-1047
Mailing address
3628 STOCKDALE HWY, BAKERSFIELD, CA 93309-2153
(661) 322-1021
(661) 322-1047
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1574
—
CA
Enumeration date
02/06/2007
Last updated
05/06/2008
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