| Mountain Side Behavioral Health Llc | |
|
1533 S Auburn St Colfax CA 95713-9019 | |
| (970) 948-4129 | |
| Not Available |
| Full Name | Mountain Side Behavioral Health Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1533 S Auburn St, Colfax, California |
| Authorized Official Name and Position | Aaron Estrada (CEO) |
| Authorized Official Contact | 9709484129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Side Behavioral Health Llc 70 College Way Auburn CA 95603-5001 Ph: (970) 948-4129 | Mountain Side Behavioral Health Llc 1533 S Auburn St Colfax CA 95713-9019 Ph: (970) 948-4129 |
| NPI Number | 1750012431 |
|---|---|
| Provider Enumeration Date | 06/22/2022 |
| Last Update Date | 11/13/2023 |
| Certification Date | 07/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750012431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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Mountain Side Behavioral Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1033 S Auburn St, Colfax, CA 95713 Phone: 888-290-0925 |