| Crisis Alternative Response Of Eureka | |
|
531 K St Eureka CA 95501-1165 | |
| (707) 441-4144 | |
| Not Available |
| Full Name | Crisis Alternative Response Of Eureka |
|---|---|
| Speciality | Counselor |
| Location | 531 K St, Eureka, California |
| Authorized Official Name and Position | Jacob Daniel Rosen (MANAGING MENTAL HEALTH CLINICIAN) |
| Authorized Official Contact | 7073822445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crisis Alternative Response Of Eureka 531 K St Eureka CA 95501-1165 Ph: (707) 441-4144 | Crisis Alternative Response Of Eureka 531 K St Eureka CA 95501-1165 Ph: (707) 441-4144 |
| NPI Number | 1760106405 |
|---|---|
| Provider Enumeration Date | 09/27/2022 |
| Last Update Date | 09/27/2022 |
| Certification Date | 09/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760106405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
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