| Community Corrections Resource Center | |
|
404 H St Eureka CA 95501-1022 | |
| (707) 268-2990 | |
| Not Available |
| Full Name | Community Corrections Resource Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 404 H St, Eureka, California |
| Authorized Official Name and Position | Emi Botzler-rogers (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Contact | 7072682990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Corrections Resource Center 720 Wood St Eureka CA 95501-4413 | Community Corrections Resource Center 404 H St Eureka CA 95501-1022 Ph: (707) 268-2990 |
| NPI Number | 1427485564 |
|---|---|
| Provider Enumeration Date | 10/03/2013 |
| Last Update Date | 04/29/2020 |
| Certification Date | 04/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427485564 | NPI | - | NPPES |
| 000012AZ | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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