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1128 Yuba St Marysville CA 95901-4831 | |
| (530) 418-1001 | |
| (530) 418-1005 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1128 Yuba St, Marysville, California |
| Authorized Official Name and Position | Rosemary Lisa Kelly (AUTHORIZED NPI OFFICIAL) |
| Authorized Official Contact | 5308945933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1128 Yuba St Marysville CA 95901-4831 Ph: (530) 418-1001 | 1128 Yuba St Marysville CA 95901-4831 Ph: (530) 418-1001 |
| NPI Number | 1184124539 |
|---|---|
| Provider Enumeration Date | 02/12/2018 |
| Last Update Date | 02/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184124539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Yuba County Children And Families At Risk Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 6th Street, Marysville, CA 95901 Phone: 530-741-6275 Fax: 530-749-7913 | |