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300 E 15th St Ste C Merced CA 95341-6217 | |
| (209) 381-6819 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 300 E 15th St Ste C, Merced, California |
| Authorized Official Name and Position | Kurt Craig (COMPLIANCE OFFICER) |
| Authorized Official Contact | 2093816818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2087 Merced CA 95344-0087 Ph: (209) 381-6800 | 300 E 15th St Ste C Merced CA 95341-6217 Ph: (209) 381-6819 |
| NPI Number | 1982725925 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982725925 | NPI | - | NPPES |
| 2441 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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