| Maxwell House Family Support Center | |
|
6083 Maxwell Dr Paradise CA 95969-4025 | |
| (530) 762-1811 | |
| (530) 894-5791 |
| Full Name | Maxwell House Family Support Center |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 6083 Maxwell Dr, Paradise, California |
| Authorized Official Name and Position | Rosemary Lisa Kelly (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5308945933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxwell House Family Support Center 6083 Maxwell Dr Paradise CA 95969-4025 Ph: (530) 762-1811 | Maxwell House Family Support Center 6083 Maxwell Dr Paradise CA 95969-4025 Ph: (530) 762-1811 |
| NPI Number | 1013453802 |
|---|---|
| Provider Enumeration Date | 01/17/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013453802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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