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560 Cohasset Rd Ste 165 Chico CA 95926-2460 | |
(530) 879-3950 | |
(308) 793-9495 |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 560 Cohasset Rd Ste 165, Chico, California |
Authorized Official Name and Position | Scott Kennelly (DIRECTOR) |
Authorized Official Contact | 5308912850 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3217 Cohasset Rd Chico CA 95973-5404 Ph: (530) 891-2980 | 560 Cohasset Rd Ste 165 Chico CA 95926-2460 Ph: (530) 879-3950 |
NPI Number | 1760205736 |
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Provider Enumeration Date | 11/06/2024 |
Last Update Date | 11/22/2024 |
Certification Date | 11/22/2024 |
Identifier | Type | State | Issuer |
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1760205736 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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