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General NPI Number Information
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NPI Number | 1710443940
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Entity Type | Organization
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Legal Business Name | CALIFORNIA BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 02/12/2019
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Last Update Date | 09/29/2020
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Provider Practice Location Address
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Address Line | 37066 BANKSIDE DR
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City | CATHEDRAL CITY
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State | CA
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Zip | 92234-7815
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Country | US
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Telephone | 760-459-3736
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Fax | 760-459-3607
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Provider Business Mailing Address
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Address Line | 67782 E PALM CANYON DR STE B104-205
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City | CATHEDRAL CITY
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State | CA
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Zip | 92234-5433
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Country | US
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Telephone | 760-459-3736
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Fax | 760-459-3607
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MELISSA LEGERE
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Credential | LMFT
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Telephone | 951-764-3950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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