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Organization
OLE HEALTH
Active
Organization
OLE HEALTH
Active
Other names
CommuniCare OLE
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE MACISAAC (CFO)
(760) 767-6435
Entity
Organization
Contact information
Practice address
455 1ST ST, WOODLAND, CA 95695-4023
(530) 405-2873
Mailing address
2051 JOHN JONES RD, DAVIS, CA 95616-9701
(530) 758-2109
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
CA
Other
Enumeration date
06/08/2018
Last updated
10/17/2023
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