Mono County Behavioral Health

Specialty details in registry · Mammoth Lakes, CA

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At a glance

1290 Tavern Road, Mammoth Lakes, CA 93546

NPPES record updated Aug 18, 2022. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

1290 Tavern Road
Mammoth Lakes, CA 93546
Professional details: NPI, taxonomy & registry record
NPI1861050643
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251S00000X
Enumeration date
Jun 5, 2019
Record updated
Aug 18, 2022
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251S00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1290 Tavern Road
Mammoth Lakes, CA 93546
Phone
(760) 924-1740
Fax
(760) 924-1741
Mailing address
PO BOX 2619

MAMMOTH LAKES, CA 935462619
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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