| Northern California Regional Facility | |
|
2004 Harrison Ave Eureka CA 95501-3212 | |
| (707) 268-2990 | |
| Not Available |
| Full Name | Northern California Regional Facility |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2004 Harrison Ave, Eureka, California |
| Authorized Official Name and Position | Donna Wheeler (MENTAL HEALTH DIRECTOR) |
| Authorized Official Contact | 7072682990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern California Regional Facility 720 Wood St Eureka CA 95501-4413 Ph: (707) 268-2990 | Northern California Regional Facility 2004 Harrison Ave Eureka CA 95501-3212 Ph: (707) 268-2990 |
| NPI Number | 1679691315 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 06/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679691315 | NPI | - | NPPES |
| 000001244 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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