Provider Demographics
NPI:1831666304
Name:KERN BEHAVIORAL HEATH AND RECOVERY SERVICES
Entity Type:Organization
Organization Name:KERN BEHAVIORAL HEATH AND RECOVERY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RECOVERY SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JODI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:FRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-567-5477
Mailing Address - Street 1:7506 STONE BREAKERS AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93313-4372
Mailing Address - Country:US
Mailing Address - Phone:661-567-5477
Mailing Address - Fax:
Practice Address - Street 1:17635 INDUSTRIAL FARM RD
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-9520
Practice Address - Country:US
Practice Address - Phone:661-391-7802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-01
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management