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Organization
PLACER COUNTY - VISTA CREEK
Active
Organization
PLACER COUNTY - VISTA CREEK
Active
Other names
County of Placer
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN F BAUMAN (DIRECTOR OF ADULT SYSTEM OF CARE)
(530) 889-7256
Entity
Organization
Contact information
Practice address
5477 EUREKA RD, GRANITE BAY, CA 95746-8808
(916) 774-1250
Mailing address
5477 EUREKA RD, GRANITE BAY, CA 95746-8808
(916) 774-1250
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3192
STATE OF CA MENTAL HEALTH
CA
Enumeration date
03/24/2007
Last updated
04/05/2010
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