| Calaveras County Behavioral Health Services | |
|
373 W St Charles Street Suite E San Andreas CA 95249-9713 | |
| (209) 754-6555 | |
| Not Available |
| Full Name | Calaveras County Behavioral Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 373 W St Charles Street, San Andreas, California |
| Authorized Official Name and Position | Stacey Meily (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 2097546516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Calaveras County Behavioral Health Services 891 Mountain Ranch Rd San Andreas CA 95249-9713 Ph: (209) 754-6555 | Calaveras County Behavioral Health Services 373 W St Charles Street Suite E San Andreas CA 95249-9713 Ph: (209) 754-6555 |
| NPI Number | 1346564465 |
|---|---|
| Provider Enumeration Date | 03/18/2010 |
| Last Update Date | 11/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346564465 | NPI | - | NPPES |
| 01087700 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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