Modoc County Behavioral Health | |
441 N Main St Alturas CA 96101-3457 | |
(530) 233-6312 | |
(530) 233-6339 |
Full Name | Modoc County Behavioral Health |
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Speciality | Community/behavioral Health |
Location | 441 N Main St, Alturas, California |
Authorized Official Name and Position | Debbie Dale Stewart (HEALTH PROGRAM MANAGER) |
Authorized Official Contact | 5302336312 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Modoc County Behavioral Health 441 N Main St Alturas CA 96101-3457 Ph: (530) 233-6312 | Modoc County Behavioral Health 441 N Main St Alturas CA 96101-3457 Ph: (530) 233-6312 |
NPI Number | 1871042515 |
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Provider Enumeration Date | 09/22/2016 |
Last Update Date | 09/22/2016 |
Identifier | Type | State | Issuer |
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1871042515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 527673 (California) | Primary |
Youth And Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 E 2nd St, Alturas, CA 96101 Phone: 530-233-4929 | |
Behavioral Health Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 441 N Main St, Alturas, CA 96101 Phone: 530-233-6312 Fax: 530-233-6339 |