| Emotional And Behavioral Helath Services | |
|
1165 Ranch Rd Copperopolis CA 95228 | |
| (209) 785-7766 | |
| Not Available |
| Full Name | Emotional And Behavioral Helath Services |
|---|---|
| Speciality | Clinic/center |
| Location | 1165 Ranch Rd, Copperopolis, California |
| Authorized Official Name and Position | John Tim Rourke (OWNER) |
| Authorized Official Contact | 2097857766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emotional And Behavioral Helath Services Po Box 189 Copperopolis CA 95228-0189 Ph: (209) 785-7766 | Emotional And Behavioral Helath Services 1165 Ranch Rd Copperopolis CA 95228 Ph: (209) 785-7766 |
| NPI Number | 1487986519 |
|---|---|
| Provider Enumeration Date | 01/29/2010 |
| Last Update Date | 01/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487986519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 12670 (California) | Primary |
Mark Twain Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 430 Sawmill Creek Rd, Copperopolis, CA 95228 Phone: 209-785-0000 Fax: 209-785-7085 |