Provider Demographics
NPI:1528553328
Name:KERN BEHAVIORAL HEALTH & RECOVERY SERVICES
Entity Type:Organization
Organization Name:KERN BEHAVIORAL HEALTH & RECOVERY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RECOVERY SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:RODRIGO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA-AGREDANO
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:661-868-5141
Mailing Address - Street 1:5121 STOCKDALE HWY STE 275
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-2667
Mailing Address - Country:US
Mailing Address - Phone:661-868-5000
Mailing Address - Fax:
Practice Address - Street 1:5121 STOCKDALE HWY STE 275
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-2667
Practice Address - Country:US
Practice Address - Phone:661-868-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-25
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty