| Common Goals, Inc. | |
|
256 Buena Vista St Suite 100 Grass Valley CA 95945-7239 | |
| (530) 274-2000 | |
| (530) 274-2116 |
| Full Name | Common Goals, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 256 Buena Vista St, Grass Valley, California |
| Authorized Official Name and Position | Joseph J Festersen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5302742000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Common Goals, Inc. 256 Buena Vista St Suite 100 Grass Valley CA 95945-7239 Ph: (530) 274-2000 | Common Goals, Inc. 256 Buena Vista St Suite 100 Grass Valley CA 95945-7239 Ph: (530) 274-2000 |
| NPI Number | 1952706285 |
|---|---|
| Provider Enumeration Date | 10/29/2014 |
| Last Update Date | 06/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952706285 | NPI | - | NPPES |
| 2902 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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