| Calaveras County Behavioral Health Children | |
|
373 West St.charles Street Suite B San Andreas CA 95249 | |
| (209) 754-6516 | |
| Not Available |
| Full Name | Calaveras County Behavioral Health Children |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 373 West St.charles Street, San Andreas, California |
| Authorized Official Name and Position | Stacey Meily (PROGRAM MANAGER) |
| Authorized Official Contact | 2097546516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Calaveras County Behavioral Health Children 891 Mountain Ranch Rd Dept 127 San Andreas CA 95249-9713 Ph: () - | Calaveras County Behavioral Health Children 373 West St.charles Street Suite B San Andreas CA 95249 Ph: (209) 754-6516 |
| NPI Number | 1962759522 |
|---|---|
| Provider Enumeration Date | 08/13/2012 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962759522 | NPI | - | NPPES |
| 000000501 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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