| Woodlands | |
|
2950 Polk Street The Classroom Redding CA 96001 | |
| (530) 225-5200 | |
| Not Available |
| Full Name | Woodlands |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2950 Polk Street, Redding, California |
| Authorized Official Name and Position | Donnell Ewert (DIRECTOR OF MENTAL HEALTH) |
| Authorized Official Contact | 5302456750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodlands 2640 Breslauer Way Redding CA 96001-4246 Ph: () - | Woodlands 2950 Polk Street The Classroom Redding CA 96001 Ph: (530) 225-5200 |
| NPI Number | 1194272369 |
|---|---|
| Provider Enumeration Date | 09/06/2016 |
| Last Update Date | 11/29/2021 |
| Certification Date | 11/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194272369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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