| Common Purpose | |
|
256 Buena Vista St Ste 100 Grass Valley CA 95945-7239 | |
| (530) 274-2000 | |
| Not Available |
| Full Name | Common Purpose |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 256 Buena Vista St Ste 100, Grass Valley, California |
| Authorized Official Name and Position | John Charles Duff (PROGRAM DIRECTOR) |
| Authorized Official Contact | 5302742000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Common Purpose 256 Buena Vista St Ste 100 Grass Valley CA 95945-7239 Ph: (530) 274-2000 | Common Purpose 256 Buena Vista St Ste 100 Grass Valley CA 95945-7239 Ph: (530) 274-2000 |
| NPI Number | 1093465098 |
|---|---|
| Provider Enumeration Date | 03/24/2022 |
| Last Update Date | 03/24/2022 |
| Certification Date | 03/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093465098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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