Healthcare Provider Details
I. General information
NPI: 1891853131
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: 02/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
805 CEDAR ST
PARADISE CA
95969-4640
US
IV. Provider business mailing address
3217 COHASSET RD
CHICO CA
95973-5404
US
V. Phone/Fax
- Phone: 530-877-5845
- Fax: 530-877-3976
- Phone: 530-891-2980
- Fax: 530-895-6548
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOEL
CHAIN
Title or Position: ASSISTANT DIRECTOR
Credential:
Phone: 530-879-3824