| El Dorado County Mental Health | |
|
768 Pleasant Valley Road, Suite 201 Diamond Springs CA 95619 | |
| (530) 621-6290 | |
| (530) 622-1293 |
| Full Name | El Dorado County Mental Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 768 Pleasant Valley Road, Suite 201, Diamond Springs, California |
| Authorized Official Name and Position | Nicole Ebrahimi-nuyken (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Contact | 5306216545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Dorado County Mental Health 768 Pleasant Valley Road, Suite 201 Diamond Springs CA 95619 Ph: (530) 621-6290 | El Dorado County Mental Health 768 Pleasant Valley Road, Suite 201 Diamond Springs CA 95619 Ph: (530) 621-6290 |
| NPI Number | 1518178193 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 04/12/2023 |
| Certification Date | 04/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518178193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (California) | Primary |
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