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124 Indianola Rd Eureka CA 95503-9403 | |
| (707) 267-7812 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 124 Indianola Rd, Eureka, California |
| Authorized Official Name and Position | Elizabeth Anderson (PROGRAM DEVELOPMENT LEAD) |
| Authorized Official Contact | 7072677812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
124 Indianola Rd Eureka CA 95503-9403 Ph: (707) 267-7812 | 124 Indianola Rd Eureka CA 95503-9403 Ph: (707) 267-7812 |
| NPI Number | 1255076873 |
|---|---|
| Provider Enumeration Date | 04/28/2022 |
| Last Update Date | 04/28/2022 |
| Certification Date | 04/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255076873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Humboldt Family Service Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1802 California St, Eureka, CA 95501 Phone: 707-443-7358 | |
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