Organization
COMMUNITY SERVICE ORGANIZATION BEHAVIORAL HEALTH PROGRAM
Active
Other names
Brotherhood Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWAYNE ANTHONY GOTAY SR. E.D. (EXECUTIVE DIRECTOR)
(661) 327-0376
Entity
Organization
Contact information
Practice address
1124 BAKER STREET, BAKERSFIELD, CA 93305
(661) 327-9376
(661) 327-7649
Mailing address
PO BOX 3067, BAKERSFIELD, CA 93389
(661) 327-9376
(661) 327-7649
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/26/2007
Last updated
08/05/2014
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