Provider Demographics
NPI:1649712779
Name:KERN COUNTY MENTAL HEALTH
Entity type:Organization
Organization Name:KERN COUNTY MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:DELYLA
Authorized Official - Middle Name:BONNIE JESSIE
Authorized Official - Last Name:MAYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-868-6140
Mailing Address - Street 1:1401 L ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-4522
Mailing Address - Country:US
Mailing Address - Phone:661-868-6140
Mailing Address - Fax:
Practice Address - Street 1:1401 L ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-4522
Practice Address - Country:US
Practice Address - Phone:661-868-6140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-07
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty