| Elijah House Foundation | |
|
2060 Park Ave Oroville CA 95966-5350 | |
| (530) 815-9558 | |
| Not Available |
| Full Name | Elijah House Foundation |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2060 Park Ave, Oroville, California |
| Authorized Official Name and Position | Amanda Balzli (CFO/HUMAN RESOURCE MANAGER) |
| Authorized Official Contact | 5306820266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elijah House Foundation 2060 Park Ave Oroville CA 95966-5350 Ph: (530) 815-9558 | Elijah House Foundation 2060 Park Ave Oroville CA 95966-5350 Ph: (530) 815-9558 |
| NPI Number | 1780203802 |
|---|---|
| Provider Enumeration Date | 04/09/2020 |
| Last Update Date | 08/22/2024 |
| Certification Date | 08/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780203802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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