| Elijah House Foundation | |
|
3758 Illinois Ave Corning CA 96021-9617 | |
| (530) 815-9558 | |
| Not Available |
| Full Name | Elijah House Foundation |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 3758 Illinois Ave, Corning, California |
| Authorized Official Name and Position | Amanda Balzli (HUMAN RESOURCE MANAGER) |
| Authorized Official Contact | 5308159558 |
| 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 3758 Illinois Ave Corning CA 96021-9617 Ph: (530) 815-9558 |
| NPI Number | 1760942965 |
|---|---|
| Provider Enumeration Date | 03/22/2019 |
| Last Update Date | 06/26/2024 |
| Certification Date | 06/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760942965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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