| Psychiatric Care Medical Corporation | |
|
3455 Westridge Dr Kelseyville CA 95451-8227 | |
| (707) 279-2932 | |
| Not Available |
| Full Name | Psychiatric Care Medical Corporation |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3455 Westridge Dr, Kelseyville, California |
| Authorized Official Name and Position | Olga Segal (PRESIDENT) |
| Authorized Official Contact | 7072792932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Care Medical Corporation 3455 Westridge Dr Kelseyville CA 95451-8227 Ph: () - | Psychiatric Care Medical Corporation 3455 Westridge Dr Kelseyville CA 95451-8227 Ph: (707) 279-2932 |
| NPI Number | 1437175619 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 10/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437175619 | NPI | - | NPPES |
| 00A857740 | Other | CA | PIN NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | A85774 (California) | Primary |