| Department Of Health And Human Services Alcohol And Other Drug | |
|
1279 2nd St Ste C Crescent City CA 95531-4134 | |
| (707) 464-0860 | |
| (707) 465-0855 |
| Full Name | Department Of Health And Human Services Alcohol And Other Drug |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1279 2nd St Ste C, Crescent City, California |
| Authorized Official Name and Position | Daniel Cumbra (PROGRAM COORDINATOR) |
| Authorized Official Contact | 7074644813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Department Of Health And Human Services Alcohol And Other Drug 1279 2nd St Ste C Crescent City CA 95531-4134 Ph: (707) 464-4813 | Department Of Health And Human Services Alcohol And Other Drug 1279 2nd St Ste C Crescent City CA 95531-4134 Ph: (707) 464-0860 |
| NPI Number | 1851793046 |
|---|---|
| Provider Enumeration Date | 09/19/2014 |
| Last Update Date | 09/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851793046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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