| Healthy Moms Program (sud) | |
|
2910 H St Eureka CA 95501-4408 | |
| (707) 268-2990 | |
| Not Available |
| Full Name | Healthy Moms Program (sud) |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2910 H St, Eureka, California |
| Authorized Official Name and Position | Emi Botzler-rogers (MENTAL HEALTH BRANCH DIRECTOR) |
| Authorized Official Contact | 7072682990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Moms Program (sud) 720 Wood St Eureka CA 95501-4413 Ph: (707) 268-2990 | Healthy Moms Program (sud) 2910 H St Eureka CA 95501-4408 Ph: (707) 268-2990 |
| NPI Number | 1265640288 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 09/13/2023 |
| Certification Date | 09/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265640288 | NPI | - | NPPES |
| 000001208 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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