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NPI Code Detail

MEDICARE: NORTHERN VALLEY CATHOLIC SOCIAL SERVICE INC.

MEDICARE: NORTHERN VALLEY CATHOLIC SOCIAL SERVICE INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1871816165
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHERN VALLEY CATHOLIC SOCIAL SERVICE INC.
Provider Business Mailing Address
First Line : 2400 WASHINGTON AVE
Second Line :
City : REDDING
State : CA
Zip : 96001-2832
Country : US
Telephone Number : 530-241-0552
Fax Number : 530-247-3347
Provider Business Practice Location Address
First Line : 2535 FOREST AVE
Second Line : SUITE 160
City : REDDING
State : CA
Zip : 95928-2802
Country : US
Telephone Number : 530-345-1600
Fax Number : 530-345-1685
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : CATHLEEN WYATT
Credential : LCSW
Telephone Number : 530-241-0552
Provider Enumeration Date : 03/01/2010
Last Update Date : 04/13/2015

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Directions to “NORTHERN VALLEY CATHOLIC SOCIAL SERVICE INC. ” Practice Location

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