| Family Services Program - Community Services Division | |
|
537 9th St Eureka CA 95501-1861 | |
| (707) 445-0881 | |
| (707) 442-2430 |
| Full Name | Family Services Program - Community Services Division |
|---|---|
| Speciality | Case Manager/care Coordinator |
| Location | 537 9th St, Eureka, California |
| Authorized Official Name and Position | Rachel Irene Wild (ADMINISTRATIVE COORDINATOR II) |
| Authorized Official Contact | 7072692003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Services Program - Community Services Division 904 G Street Eureka CA 95501 Ph: (707) 445-0881 | Family Services Program - Community Services Division 537 9th St Eureka CA 95501-1861 Ph: (707) 445-0881 |
| NPI Number | 1871630442 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 01/23/2020 |
| Certification Date | 01/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871630442 | NPI | - | NPPES |
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