Healthcare Provider Details
I. General information
NPI: 1831340447
Provider Name (Legal Business Name): COUNTY OF SUTTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/02/2008
Last Update Date: 07/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1965 LIVE OAK BLVD STE C ATTN SYBH MHSA BEST & HOPE PROGRAMS
YUBA CITY CA
95991-8850
US
IV. Provider business mailing address
1965 LIVE OAK BLVD ATTN SYBH MHSA BEST & HOPE PROGRAMS
YUBA CITY CA
95991-8850
US
V. Phone/Fax
- Phone: 530-822-7200
- Fax:
- Phone: 530-822-7200
- Fax:
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:
RICK
BINGHAM
Title or Position: ASSISTANT HHS DIRECTOR
Credential: LMFT
Phone: 530-822-7327