| Bhrs | |
|
1904 Richland Ave Ceres CA 95307-4562 | |
| (209) 525-7411 | |
| Not Available |
| Full Name | Bhrs |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1904 Richland Ave, Ceres, California |
| Authorized Official Name and Position | Johnnico Andrew Magana (CLINICAL SERVICE TECHNICIAN) |
| Authorized Official Contact | 2092470735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhrs 1904 Richland Ave Ceres CA 95307-4562 Ph: (209) 525-7411 | Bhrs 1904 Richland Ave Ceres CA 95307-4562 Ph: (209) 525-7411 |
| NPI Number | 1043086713 |
|---|---|
| Provider Enumeration Date | 12/04/2023 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043086713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | () | Primary |
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