| Prevention | |
|
137 N. Cottonwood Street Suite 2500 - Admin Woodland CA 95695 | |
| (530) 666-8630 | |
| Not Available |
| Full Name | Prevention |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 137 N. Cottonwood Street, Woodland, California |
| Authorized Official Name and Position | Katherine Barrett (BEHAVIORALHEALTH COMPLIANCE OFFICER) |
| Authorized Official Contact | 5306668983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prevention 137 N. Cottonwood Street Suite 2500 - Admin Woodland CA 95695 Ph: () - | Prevention 137 N. Cottonwood Street Suite 2500 - Admin Woodland CA 95695 Ph: (530) 666-8630 |
| NPI Number | 1275747875 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 04/05/2023 |
| Certification Date | 04/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275747875 | NPI | - | NPPES |
| 575703 | Other | CA | PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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