Communicare Ole | |
600 A St Davis CA 95616-3649 | |
(530) 753-3498 | |
(530) 758-2109 |
Full Name | Communicare Ole |
---|---|
Speciality | Community/behavioral Health |
Location | 600 A St, Davis, California |
Authorized Official Name and Position | Rose Macisaac (CFO) |
Authorized Official Contact | 7607676435 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Communicare Ole Po Box 1260 Davis CA 95617-1260 Ph: (530) 758-1510 | Communicare Ole 600 A St Davis CA 95616-3649 Ph: (530) 753-3498 |
NPI Number | 1275831570 |
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Provider Enumeration Date | 03/10/2011 |
Last Update Date | 10/17/2023 |
Certification Date | 10/17/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275831570 | NPI | - | NPPES |
00905 | Other | CA | YOLO COUNTY ALCOHOL, DRUG AND MENTAL HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | INTERN (* (Not Available)) | Primary |
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