Organization
COUNTY OF MADERA
Active
Organization
COUNTY OF MADERA
Active
Other names
Chowchilla Recovery Center MH
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS P KOCH MPA (DIRECTOR BEHAVIORAL HEALTH SERVICES)
(559) 673-3508
Entity
Organization
Contact information
Practice address
215 S 4TH ST, CHOWCHILLA, CA 93610-2818
(559) 665-2947
Mailing address
PO BOX 1288, MADERA, CA 93639-1288
(559) 673-3508
(559) 675-4999
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2057
CA DEPT. OF MENTAL HEALTH
CA
Enumeration date
04/10/2007
Last updated
12/02/2014
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