Healthcare Provider Details

I. General information

NPI: 1205994548
Provider Name (Legal Business Name): COUNTY OF BUTTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 11/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

995 SPRUCE STREET
GRIDLEY CA
95948-2128
US

IV. Provider business mailing address

3217 COHASSET RD
CHICO CA
95973-5404
US

V. Phone/Fax

Practice location:
  • Phone: 530-846-7305
  • Fax: 530-846-6216
Mailing address:
  • Phone: 530-891-2980
  • Fax: 530-895-6548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JOEL CHAIN
Title or Position: ASSISTANT DIRECTOR
Credential:
Phone: 530-879-3824