| |
5910 Clark Rd Ste G Paradise CA 95969-4859 | |
(530) 894-5933 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 5910 Clark Rd Ste G, Paradise, California |
Authorized Official Name and Position | Rosemary Lisa Kelly (NPI AUTHORIZED OFFICIAL) |
Authorized Official Contact | 5308945933 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
260 Cohasset Rd Ste 120 Chico CA 95926-2282 Ph: (530) 894-5933 | 5910 Clark Rd Ste G Paradise CA 95969-4859 Ph: (530) 894-5933 |
NPI Number | 1427701903 |
---|---|
Provider Enumeration Date | 02/03/2022 |
Last Update Date | 02/03/2022 |
Certification Date | 02/03/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427701903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |