| Youth Service Agency Inc. | |
|
19786 Big Bend Dr Cottonwood CA 96022-8400 | |
| (530) 347-5913 | |
| Not Available |
| Full Name | Youth Service Agency Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 19786 Big Bend Dr, Cottonwood, California |
| Authorized Official Name and Position | Blake Uhles (DIRECTOR) |
| Authorized Official Contact | 5303475913 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Service Agency Inc. 19786 Big Bend Dr Cottonwood CA 96022-8400 Ph: (530) 347-5913 | Youth Service Agency Inc. 19786 Big Bend Dr Cottonwood CA 96022-8400 Ph: (530) 347-5913 |
| NPI Number | 1811231731 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 11/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811231731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Heathermauldinlcsw Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4111 Black Pine Rd, Cottonwood, CA 96022 Phone: 530-803-3223 |