Provider Demographics
NPI:1417003823
Name:COUNTY OF TULARE HEALTH AND HUMAN SERVICES AGENCY
Entity Type:Organization
Organization Name:COUNTY OF TULARE HEALTH AND HUMAN SERVICES AGENCY
Other - Org Name:DINUBA ADULT MENTAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF MENTAL HEATLH SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:L
Authorized Official - Last Name:DUERKSEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:559-737-4669
Mailing Address - Street 1:5957 S MOONEY BLVD
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-9394
Mailing Address - Country:US
Mailing Address - Phone:559-737-4669
Mailing Address - Fax:559-737-4697
Practice Address - Street 1:920 S COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:DINUBA
Practice Address - State:CA
Practice Address - Zip Code:93618-2804
Practice Address - Country:US
Practice Address - Phone:559-591-5845
Practice Address - Fax:559-591-5865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)