| Blythe Substance Use Program | |
|
1297 W Hobsonway Blythe CA 92225-1423 | |
| (760) 921-5019 | |
| (760) 921-5010 |
| Full Name | Blythe Substance Use Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1297 W Hobsonway, Blythe, California |
| Authorized Official Name and Position | Jerry a Wengerd (DIRECTOR, DEPT. OF MENTAL HEALTH) |
| Authorized Official Contact | 9513584501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blythe Substance Use Program 3525 Presley Ave Riverside CA 92507-4453 Ph: (951) 782-2400 | Blythe Substance Use Program 1297 W Hobsonway Blythe CA 92225-1423 Ph: (760) 921-5019 |
| NPI Number | 1285700435 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 12/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285700435 | NPI | - | NPPES |
| 333365 | Other | CA | CADDS |
| 3365 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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