| Teen Center Llc | |
|
1002 Live Oak Blvd Yuba City CA 95991-4028 | |
| (949) 677-8734 | |
| Not Available |
| Full Name | Teen Center Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1002 Live Oak Blvd, Yuba City, California |
| Authorized Official Name and Position | Ceaira Coffin (DIRECTOR) |
| Authorized Official Contact | 9494680792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teen Center Llc 1002 Live Oak Blvd Ste A-100 Yuba City CA 95991-4028 Ph: (714) 716-5044 | Teen Center Llc 1002 Live Oak Blvd Yuba City CA 95991-4028 Ph: (949) 677-8734 |
| NPI Number | 1457126427 |
|---|---|
| Provider Enumeration Date | 11/20/2023 |
| Last Update Date | 10/01/2024 |
| Certification Date | 10/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457126427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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