Provider Demographics
NPI:1699812701
Name:BEHAVIORAL HEALTH SERVICES
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUBSTANCE ABUSE COUNSELOR II
Authorized Official - Prefix:MRS
Authorized Official - First Name:DALIA
Authorized Official - Middle Name:VARELA
Authorized Official - Last Name:PESQUEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-337-7847
Mailing Address - Street 1:2071 W ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92243-5506
Mailing Address - Country:US
Mailing Address - Phone:760-352-0871
Mailing Address - Fax:
Practice Address - Street 1:1295 W STATE ST
Practice Address - Street 2:
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-2845
Practice Address - Country:US
Practice Address - Phone:760-337-7847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty