Healthcare Provider Details

I. General information

NPI: 1669699526
Provider Name (Legal Business Name): IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 WAKE AVE
EL CENTRO CA
92243-9490
US

IV. Provider business mailing address

651 WAKE AVE
EL CENTRO CA
92243-9490
US

V. Phone/Fax

Practice location:
  • Phone: 442-265-1670
  • Fax:
Mailing address:
  • Phone: 442-265-1670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LETICIA PLANCARTE-GARCIA
Title or Position: DIRECTOR
Credential: MSW, MPA
Phone: 442-265-1500