|
| |
|
1360 E Lassen Ave Chico CA 95973-7823 | |
| (530) 267-1700 | |
| (530) 267-1775 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1360 E Lassen Ave, Chico, California |
| Authorized Official Name and Position | Angie R Wiechert (MANAGER OF FINANCIAL PLANNING) |
| Authorized Official Contact | 5302301210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1360 E Lassen Ave Chico CA 95973-7823 Ph: (530) 267-1700 | 1360 E Lassen Ave Chico CA 95973-7823 Ph: (530) 267-1700 |
| NPI Number | 1225181050 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225181050 | NPI | - | NPPES |
| 01042 | Other | CA | LEGAL ENTITY # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Tula Therapy By Emma Todd Licensed Clinical Social Worker Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 389 Connors Ct Ste C, Chico, CA 95926 Phone: 530-366-0755 | |
Sea Glass Therapy And Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3359 Penzance Ave, Chico, CA 95973 Phone: 405-451-5330 | |