Healthcare Provider Details

I. General information

NPI: 1174437693
Provider Name (Legal Business Name): DESERT SPRINGS BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73771 DINAH SHORE DR STE 201
PALM DESERT CA
92211-0860
US

IV. Provider business mailing address

5 EVES DR
MARLTON NJ
08053-3135
US

V. Phone/Fax

Practice location:
  • Phone: 561-283-3646
  • Fax:
Mailing address:
  • Phone: 561-283-3646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL

VIII. Authorized Official

Name: CYNTHIA BUTLER
Title or Position: LICENSING MANAGER
Credential:
Phone: 603-674-9741