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612 G St Ste 104 Eureka CA 95501-1021 | |
| (707) 443-7370 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 612 G St Ste 104, Eureka, California |
| Authorized Official Name and Position | Melody King (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5302833330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
612 G St Ste 104 Eureka CA 95501-1021 Ph: (707) 443-7370 | 612 G St Ste 104 Eureka CA 95501-1021 Ph: (707) 443-7370 |
| NPI Number | 1730821570 |
|---|---|
| Provider Enumeration Date | 04/12/2022 |
| Last Update Date | 12/09/2024 |
| Certification Date | 12/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730821570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 251X00000X | Supports Brokerage | (* (Not Available)) | Secondary |
Humboldt Family Service Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1802 California St, Eureka, CA 95501 Phone: 707-443-7358 | |
Narum Clinical Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 3rd St, Suite 201, Eureka, CA 95501 Phone: 707-441-8626 Fax: 707-442-5040 | |