| Family Intervention And Community Support | |
|
103 D St Marysville CA 95901-6017 | |
| (530) 671-3427 | |
| Not Available |
| Full Name | Family Intervention And Community Support |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 103 D St, Marysville, California |
| Authorized Official Name and Position | Matt Madaus (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5306713427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Intervention And Community Support 1952 Hershey Dr Woodland CA 95776-5143 Ph: (801) 361-9943 | Family Intervention And Community Support 103 D St Marysville CA 95901-6017 Ph: (530) 671-3427 |
| NPI Number | 1558434126 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558434126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 20722 (California) | Primary |
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