Healthcare Provider Details

I. General information

NPI: 1689080079
Provider Name (Legal Business Name): COUNTY OF BUTTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2014
Last Update Date: 07/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1531 ESPLANADE
CHICO CA
95926-3310
US

IV. Provider business mailing address

109 PARMAC RD SUITE 1
CHICO CA
95926-2294
US

V. Phone/Fax

Practice location:
  • Phone: 530-332-7300
  • Fax:
Mailing address:
  • Phone: 530-891-2980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: AMY WILNER
Title or Position: ASSISTANT DIRECTOR
Credential: CPA, MPA
Phone: 530-891-2850