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D.s. Hall Street Bldg 170 Herlong CA 96130 | |
(530) 251-8108 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | D.s. Hall Street, Herlong, California |
Authorized Official Name and Position | Ken Crandall (DIRECTOR OF MENTAL HEALTH SERVICES) |
Authorized Official Contact | 5302518108 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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D.s. Hall Street Bldg 170 Herlong CA 96130 Ph: (530) 251-8108 | D.s. Hall Street Bldg 170 Herlong CA 96130 Ph: (530) 251-8108 |
NPI Number | 1720277403 |
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Provider Enumeration Date | 10/18/2007 |
Last Update Date | 07/03/2008 |
Identifier | Type | State | Issuer |
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1720277403 | NPI | - | NPPES |