| Integrated Care Management Solutions | |
|
544 S Main St Suite B Fort Bragg CA 95437-5107 | |
| (707) 961-0172 | |
| (707) 961-0127 |
| Full Name | Integrated Care Management Solutions |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 544 S Main St, Fort Bragg, California |
| Authorized Official Name and Position | Jeff Payne (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5307519904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Care Management Solutions 1547 Plumas Ct Yuba City CA 95991-2960 Ph: (530) 751-9917 | Integrated Care Management Solutions 544 S Main St Suite B Fort Bragg CA 95437-5107 Ph: (707) 961-0172 |
| NPI Number | 1043622137 |
|---|---|
| Provider Enumeration Date | 05/23/2014 |
| Last Update Date | 10/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043622137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (California) | Primary |
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