| Portola Wellness Family Resource Center | |
|
280 E Sierra Ave Portola CA 96122-8408 | |
| (530) 283-6307 | |
| (530) 283-6045 |
| Full Name | Portola Wellness Family Resource Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 280 E Sierra Ave, Portola, California |
| Authorized Official Name and Position | Jessica Mcgill (QUALITY ASSURANCE AND COMPLIANCE) |
| Authorized Official Contact | 5302978655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portola Wellness Family Resource Center 270 County Hospital Rd Ste 109 Quincy CA 95971-9173 Ph: (530) 283-6307 | Portola Wellness Family Resource Center 280 E Sierra Ave Portola CA 96122-8408 Ph: (530) 283-6307 |
| NPI Number | 1891282810 |
|---|---|
| Provider Enumeration Date | 04/16/2018 |
| Last Update Date | 04/11/2024 |
| Certification Date | 04/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891282810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Patriot Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 545 W Sierra St, Portola, CA 96122 Phone: 775-848-9771 |