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5974 Pentz Rd Paradise CA 95969-5509 | |
(530) 877-9361 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 5974 Pentz Rd, Paradise, California |
Authorized Official Name and Position | Amy Wilner (ASSISTANT DIRECTOR) |
Authorized Official Contact | 5308912850 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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109 Parmac Rd Suite 1 Chico CA 95926-2294 Ph: (530) 890-2980 | 5974 Pentz Rd Paradise CA 95969-5509 Ph: (530) 877-9361 |
NPI Number | 1992111413 |
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Provider Enumeration Date | 07/03/2014 |
Last Update Date | 07/03/2014 |
Identifier | Type | State | Issuer |
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1992111413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |