Desert Behavioral Specialties, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

DESERT BEHAVIORAL SPECIALTIES, LLC

Practice address

1073 Ross Ave
Suite C
El Centro, CA 92243-4371

Phone

(760) 353-9994

Fax

(760) 353-9995

NPI assigned

May 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Charles Agee Jr., MA, CATC

Title

Executive Director

Phone

(760) 353-9994

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336356674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1073 WEST ROSS AVENUE",
            "address_2": "SUITE C",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "92243",
            "telephone_number": "760-353-9994",
            "fax_number": "760-353-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 ROSS AVE",
            "address_2": "SUITE C",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434371",
            "telephone_number": "760-353-9994",
            "fax_number": "760-353-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT BEHAVIORAL SPECIALTIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "760-353-9994",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MA, CATC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Delgado
• Gilbert Delgado
• Olivia Delgado
• Deloris Barnes Corporation
• Barbara Jean Deol, R.N.
• Desert Care Clinic Apc
• Desert Eye Institute Medical Group, Inc.
• Desert Family Dentistry
• Desert Mobility Equipment LLC
• Desert Pharmacy

• Substance Use Disorder Rehabilitation Clinic/Center in El Centro, CA
• Providers in El Centro, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.