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Contact Information

EMOTIONAL AND BEHAVIORAL HELATH SERVICES
1165 RANCH RD
COPPEROPOLIS, CA95228
 Phone: 209-785-7766
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for EMOTIONAL AND BEHAVIORAL HELATH SERVICES

NPI # 1487986519
LBN Legal business name EMOTIONAL AND BEHAVIORAL HELATH SERVICES
Authorized official JOHN ROURKE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/29/2010
Last updated 01/29/2010 - About 16 years ago
Identifiers
CA License # 12670
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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