| Crescendo Behavioral Health Llc | |
|
Wayne R. Wilson 70 West Terrace St Alta Dena CA 91001 | |
| (707) 797-0064 | |
| Not Available |
| Full Name | Crescendo Behavioral Health Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | Wayne R. Wilson, Alta Dena, California |
| Authorized Official Name and Position | Wayne Doc R. Wilson (DIRECTOR) |
| Authorized Official Contact | 7077970064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescendo Behavioral Health Llc 736 Bridge St Unit 11 Vernonia OR 97064-1285 Ph: (707) 797-0064 | Crescendo Behavioral Health Llc Wayne R. Wilson 70 West Terrace St Alta Dena CA 91001 Ph: (707) 797-0064 |
| NPI Number | 1992486443 |
|---|---|
| Provider Enumeration Date | 07/27/2023 |
| Last Update Date | 10/01/2024 |
| Certification Date | 09/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992486443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |