Healthcare Provider Details

I. General information

NPI: 1952574741
Provider Name (Legal Business Name): KERN COUNTY MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2008
Last Update Date: 04/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E BELLE TER
BAKERSFIELD CA
93307-3880
US

IV. Provider business mailing address

PO BOX 1000
BAKERSFIELD CA
93302-1000
US

V. Phone/Fax

Practice location:
  • Phone: 661-635-2950
  • Fax: 661-635-2983
Mailing address:
  • Phone: 661-635-2950
  • Fax: 661-635-2983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License NumberNONE
License Number State

VIII. Authorized Official

Name: MRS. MELANIE DAVIE-HAYNES
Title or Position: UNIT SUPERVISOR
Credential: LCSW
Phone: 661-635-2952