Full Name | |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 7204 Skyway, Paradise, California |
Authorized Official Name and Position | George Madison Siler (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5308778187 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 1476 Paradise CA 95967 Ph: (530) 877-8187 | 7204 Skyway Paradise CA 95969 Ph: (530) 877-1965 |
NPI Number | 1821135849 |
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Provider Enumeration Date | 01/31/2007 |
Last Update Date | 09/19/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821135849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | 04615317088081 (California) | Primary |