| Remi Vista Services For Probation Youth | |
|
206 Williams Dr # 2 Crescent City CA 95531 | |
| (707) 464-4349 | |
| (707) 464-4572 |
| Full Name | Remi Vista Services For Probation Youth |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 206 Williams Dr # 2, Crescent City, California |
| Authorized Official Name and Position | Tracey Jo Monson (BILLING ADMINISTRATOR) |
| Authorized Official Contact | 5302455808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Remi Vista Services For Probation Youth Po Box 494100 Redding CA 96049-4100 Ph: (530) 245-5805 | Remi Vista Services For Probation Youth 206 Williams Dr # 2 Crescent City CA 95531 Ph: (707) 464-4349 |
| NPI Number | 1700119385 |
|---|---|
| Provider Enumeration Date | 09/14/2009 |
| Last Update Date | 01/17/2020 |
| Certification Date | 01/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700119385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Remi Vista, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 E St Rm 26, Crescent City, CA 95531 Phone: 707-464-4349 Fax: 707-464-4572 | |
Redwood Psychological, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1080 Mason Mall Ste 6c, Crescent City, CA 95531 Phone: 707-951-7620 | |