Mental Health Substance Abuse Program
NPI #1568604452 in Indio, California
Provider Information
- NPI Number
- 1568604452
- Entity Type
- Organization
- Organization Name
- Mental Health Substance Abuse Program
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 24, 2009
- Last Updated
- Mar 24, 2009
Practice Location
- Address
- 83912 AVENUE 45 STE 9
- City
- Indio
- State
- California
- ZIP Code
- 92201-3338
- Phone
- (760) 347-0754
Authorized Official
- Name
- MRS. MARYJO LOERA, CCBADC/CAADAC
- Title
- BEHAVIORAL HEALTH SPECIALIST III
- Phone
- (760) 347-0754
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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