| Gridley Live Spot | |
|
300 East Spruce Street Gridley CA 95948-2235 | |
| (530) 846-7305 | |
| Not Available |
| Full Name | Gridley Live Spot |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 300 East Spruce Street, Gridley, California |
| Authorized Official Name and Position | Amy Wilner (ASSISTANT DIRECTOR) |
| Authorized Official Contact | 5308912850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gridley Live Spot 109 Parmac Road Suite 1 Chico CA 95926 Ph: (530) 891-2980 | Gridley Live Spot 300 East Spruce Street Gridley CA 95948-2235 Ph: (530) 846-7305 |
| NPI Number | 1386993293 |
|---|---|
| Provider Enumeration Date | 09/06/2012 |
| Last Update Date | 09/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386993293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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