Full Name | |
---|---|
Speciality | Community/behavioral Health |
Location | 125 Hwy 299 East, Bieber, California |
Authorized Official Name and Position | Kevin Mannel (DEPUTY COUNTY ADMINISTRATIVE OFFICE) |
Authorized Official Contact | 5302518112 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 40 Bieber CA 96009-0040 Ph: (530) 294-5700 | 125 Hwy 299 East Bieber CA 96009 Ph: (530) 294-5700 |
NPI Number | 1326318080 |
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Provider Enumeration Date | 01/11/2012 |
Last Update Date | 01/11/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326318080 | NPI | - | NPPES |
1801 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |