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5911 Maxwell Dr Paradise CA 95969-4023 | |
(530) 872-6425 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 5911 Maxwell Dr, Paradise, California |
Authorized Official Name and Position | Roy L Applegate (SELPA DIRECTOR) |
Authorized Official Contact | 5305325621 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1859 Bird St Oroville CA 95965-4854 Ph: (530) 532-5621 | 5911 Maxwell Dr Paradise CA 95969-4023 Ph: (530) 872-6425 |
NPI Number | 1336371657 |
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Provider Enumeration Date | 08/20/2009 |
Last Update Date | 08/20/2009 |
Identifier | Type | State | Issuer |
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1336371657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |