Healthcare Provider Details

I. General information

NPI: 1821269382
Provider Name (Legal Business Name): KERN COUNTY HISPANIC COMMISSION ON ALCOHOL AND DRUG ABUSE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2008
Last Update Date: 06/03/2024
Certification Date: 07/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5080 CALIFORNIA AVE SUITE 100
BAKERSFIELD CA
93309
US

IV. Provider business mailing address

5080 CALIFORNIA AVE, STE 100
BAKERSFIELD CA
93309
US

V. Phone/Fax

Practice location:
  • Phone: 661-634-9877
  • Fax: 661-864-0198
Mailing address:
  • Phone: 661-634-9877
  • Fax: 661-864-0198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. HANNAH GARBER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 661-634-9877