Organization
COUNTY OF MERCED
Active
Other names
BHRS Adult Outpatient-Merced
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KURT CRAIG CIPP/US (COMPLIANCE OFFICER)
(209) 381-6818
Entity
Organization
Contact information
Practice address
301 E 13TH ST STE A, MERCED, CA 95341-6211
(209) 381-6800
Mailing address
PO BOX 2087, MERCED, CA 95344-0087
(209) 381-6800
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2401
—
CA
Enumeration date
04/02/2007
Last updated
11/08/2021
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