Icbhs

NPI #1619094984 in El Centro, California

Provider Information

NPI Number
1619094984
Entity Type
Organization
Organization Name
Icbhs
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Mar 23, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1295 W STATE ST
Address 2
STE. 102
ZIP Code
92243-2845
Phone
(760) 353-0763

Authorized Official

Name
GARY GARRISON
Title
SUBSTANCE AUBSE COUNSELOR II
Phone
(760) 353-0763

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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