Full Name | |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 7200 Skyway, Paradise, California |
Authorized Official Name and Position | Scott Kennelly (DIRECTOR) |
Authorized Official Contact | 5308912850 |
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 | 7200 Skyway Paradise CA 95969-3280 Ph: (530) 891-2980 |
NPI Number | 1174161343 |
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Provider Enumeration Date | 12/18/2019 |
Last Update Date | 08/01/2022 |
Certification Date | 08/01/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174161343 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |