| Making Headway Center For Brain Injury Recovery | |
|
730 K St Eureka CA 95501-1123 | |
| (707) 442-7668 | |
| (707) 443-8839 |
| Full Name | Making Headway Center For Brain Injury Recovery |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 730 K St, Eureka, California |
| Authorized Official Name and Position | Laurel Northrop (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7074427668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Making Headway Center For Brain Injury Recovery 730 K St Eureka CA 95501-1123 Ph: (707) 442-7668 | Making Headway Center For Brain Injury Recovery 730 K St Eureka CA 95501-1123 Ph: (707) 442-7668 |
| NPI Number | 1003024449 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 04/10/2019 |
| Medicare PECOS PAC ID | 3476840679 |
|---|---|
| Medicare Enrollment ID | O20190507002148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003024449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Janet Kemper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881044287 PECOS PAC ID: 0042552309 Enrollment ID: I20190507001553 |
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