Healthcare Provider Details

I. General information

NPI: 1740191725
Provider Name (Legal Business Name): NORTHERN CALIFORNIA YOUTH AND FAMILY PROGRAMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2577 CALIFORNIA PARK DR
CHICO CA
95928-4166
US

IV. Provider business mailing address

2577 CALIFORNIA PARK DR
CHICO CA
95928-4166
US

V. Phone/Fax

Practice location:
  • Phone: 530-365-9197
  • Fax: 530-893-5026
Mailing address:
  • Phone: 530-365-9197
  • Fax: 530-893-5026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE DAHLGREN
Title or Position: EXECUTIVE DIRECTOR/CEO
Credential: MA
Phone: 530-365-9197