Community Service Organization Behavioral Health Programs
NPI #1053524405 in Lamont, California
Provider Information
- NPI Number
- 1053524405
- Entity Type
- Organization
- Organization Name
- Community Service Organization Behavioral Health Programs
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 8, 2007
- Last Updated
- Oct 28, 2014
Practice Location
- Address
- 10420 MAIN ST
- City
- Lamont
- State
- California
- ZIP Code
- 93241-1727
- Phone
- (661) 845-3753
Authorized Official
- Name
- MR. DWAYNE ANTHONY GOTAY SR., E.D.
- Title
- EXECUTIVE DIRECTOR
- Phone
- (661) 845-3753
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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