Common Goals, Inc. | |
15301 Tyler Foote Rd Nevada City CA 95959-9318 | |
(530) 265-2914 | |
(530) 265-2974 |
Full Name | Common Goals, Inc. |
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Speciality | Community/behavioral Health |
Location | 15301 Tyler Foote Rd, Nevada City, California |
Authorized Official Name and Position | Joseph Jacob Festersen (PRES./CEO) |
Authorized Official Contact | 5302652914 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Common Goals, Inc. 727 Zion St Nevada City CA 95959-2920 Ph: (530) 265-2914 | Common Goals, Inc. 15301 Tyler Foote Rd Nevada City CA 95959-9318 Ph: (530) 265-2914 |
NPI Number | 1992935589 |
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Provider Enumeration Date | 07/17/2009 |
Last Update Date | 07/17/2009 |
Identifier | Type | State | Issuer |
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1992935589 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 290007AP (California) | Primary |
Common Goals Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 727 Zion Street Plaza, Nevada City, CA 95959 Phone: 530-265-2914 Fax: 530-265-2974 | |
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