| |
3300 Spencer Ave Oroville CA 95966-6587 | |
(530) 891-2980 | |
Not Available |
Full Name | |
---|---|
Speciality | Community/behavioral Health |
Location | 3300 Spencer Ave, Oroville, California |
Authorized Official Name and Position | Isidore Michael Pena (SUPERVISOR, BILLING) |
Authorized Official Contact | 5308912765 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
3217 Cohasset Rd Chico CA 95973-5404 Ph: (530) 891-2980 | 3300 Spencer Ave Oroville CA 95966-6587 Ph: (530) 891-2980 |
NPI Number | 1376051367 |
---|---|
Provider Enumeration Date | 01/12/2018 |
Last Update Date | 01/12/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376051367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Victor Community Support Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2185 Baldwin Ave, Oroville, CA 95966 Phone: 530-267-1768 | |