Emotional and Behavioral Helath Services
Organization Active NPI Clinic/Center · Copperopolis, CA
NPI 1487986519 · NPPES record last updated Jan 29, 2010
Key facts
- NPI
- 1487986519
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 12670 (CA)
- Legal business name
- EMOTIONAL AND BEHAVIORAL HELATH SERVICES
- Practice address
- 1165 Ranch Rd
Copperopolis, CA 95228 - Phone
- (209) 785-7766
- NPI assigned
- Jan 29, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. John Tim Rourke, PHD
- Title
- Owner
- Phone
- (209) 785-7766
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 12670 | CA | Yes |
Addresses
Primary practice location
1165 Ranch Rd
Copperopolis, CA 95228
Mailing address
PO Box 189
Copperopolis, CA 95228-0189
Phone (209) 785-7766
Other providers in Copperopolis, CA
- Copperopolis Dental Kirandeep Kaur DDS Gen PTR
- Copperopolis Pharmacy
- Mark Scott Demanes
- Jennifer Cathryn Dewey
- Polly Chrysanthemum Dodds
- Richard Wesley French
- Ocean Reid Grohman
- Kirandeep Kaur
- Kevin S Tom
- Pennie Khong
All providers in Copperopolis, CA · Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.