Gridley Live Spot | |
300 East Spruce Street Gridley CA 95948-2235 | |
(530) 846-7305 | |
Not Available |
Full Name | Gridley Live Spot |
---|---|
Speciality | Community/behavioral Health |
Location | 300 East Spruce Street, Gridley, California |
Authorized Official Name and Position | Amy Wilner (ASSISTANT DIRECTOR) |
Authorized Official Contact | 5308912850 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gridley Live Spot 109 Parmac Road Suite 1 Chico CA 95926 Ph: (530) 891-2980 | Gridley Live Spot 300 East Spruce Street Gridley CA 95948-2235 Ph: (530) 846-7305 |
NPI Number | 1386993293 |
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Provider Enumeration Date | 09/06/2012 |
Last Update Date | 09/06/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386993293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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