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Organization

DEPARTMENT OF MENTAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRY MARTINDALE (SECRETARY III)
(661) 940-4055
Entity
Organization

Contact information

Practice address
42230 N. LAKE HUGHES AVENUE, LAKE HUGHES, CA 93532
(661) 724-8803
Mailing address
42220 N. LAKE HUGHES ROAD, LAKE HUGHES, CA 93532

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
34098
CA

Other

Enumeration date
01/29/2013
Last updated
01/29/2013
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