| Mountain Side Behavioral Health Llc | |
|
1033 S Auburn St Colfax CA 95713-9703 | |
| (888) 290-0925 | |
| Not Available |
| Full Name | Mountain Side Behavioral Health Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 1033 S Auburn St, Colfax, California |
| Authorized Official Name and Position | Aaron Estrada (COO) |
| Authorized Official Contact | 9799484129 |
| 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 1033 S Auburn St Colfax CA 95713-9703 Ph: (888) 290-0925 |
| NPI Number | 1891319695 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 11/13/2023 |
| Certification Date | 07/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891319695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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