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Organization
COUNTY OF TUOLUMNE
Active
Organization
COUNTY OF TUOLUMNE
Active
Other names
Tuolumne County Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA DEMELLO MARISCAL (HCIS)
(209) 533-6261
Entity
Organization
Contact information
Practice address
12801 CABEZUT RD, SONORA, CA 95370-5938
(209) 533-3553
(209) 588-9563
Mailing address
2 S GREEN ST, SONORA, CA 95370-4618
(209) 533-6245
(209) 588-9563
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
02/02/2010
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