Organization
MORONGO BASIN MENTAL HEALTH SERVICES ASS., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY ARY (EXECUTIVE DIRECTOR)
(760) 365-3022
Entity
Organization
Contact information
Practice address
65675 SULLIVAN RD, JOSHUA TREE, CA 92252
(760) 366-9100
Mailing address
65675 SULLIVAN RD, JOSHUA TREE, CA 92252
(760) 366-9100
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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