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2854 Olive Hwy Ste B&c Oroville CA 95966-6112 | |
(530) 894-5933 | |
(530) 894-5791 |
Full Name | |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 2854 Olive Hwy Ste B&c, Oroville, California |
Authorized Official Name and Position | Rosemary Lisa Kelly (NPI CONTACT) |
Authorized Official Contact | 5308945933 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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578 Rio Lindo Ave Suite 3 Chico CA 95926-1800 Ph: (530) 894-5933 | 2854 Olive Hwy Ste B&c Oroville CA 95966-6112 Ph: (530) 894-5933 |
NPI Number | 1356748297 |
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Provider Enumeration Date | 11/20/2014 |
Last Update Date | 02/13/2020 |
Certification Date | 02/13/2020 |
Identifier | Type | State | Issuer |
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1356748297 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Victor Community Support Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2185 Baldwin Ave, Oroville, CA 95966 Phone: 530-267-1768 | |