| NPI | 1689224891 |
|---|---|
| Doing Business As | G.A BEHAVIORAL HEALTH GROUP |
| Entity Type | Organization |
| Authorized Contact | ANDREA LOZADA GRANADOS CEO 833-833-1225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 302F00000X Exclusive Provider Organization | |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-29 |