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201 D St Suites S And R Marysville CA 95901-5958 | |
(510) 337-7950 | |
(510) 337-7969 |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 201 D St Suites S And R, Marysville, California |
Authorized Official Name and Position | Leslie Davis (SVP, CFO) |
Authorized Official Contact | 5103377950 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1080 Marina Village Pkwy Ste 100 Alameda CA 94501-1078 Ph: (510) 337-7950 | 201 D St Suites S And R Marysville CA 95901-5958 Ph: (510) 337-7950 |
NPI Number | 1780252676 |
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Provider Enumeration Date | 06/16/2021 |
Last Update Date | 05/23/2022 |
Certification Date | 05/23/2022 |
Identifier | Type | State | Issuer |
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1780252676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Yuba County Children And Families At Risk Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 6th Street, Marysville, CA 95901 Phone: 530-741-6275 Fax: 530-749-7913 | |