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Organization
OPTUM BEHAVIORAL CARE OF CALIFORNIA, P.C.
Active
Organization
OPTUM BEHAVIORAL CARE OF CALIFORNIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA N HUMPHREY (CEO)
(860) 268-4152
Entity
Organization
Contact information
Practice address
323 CYPRESS AVE, MOSS BEACH, CA 94038-9645
(650) 455-9242
(866) 398-5858
Mailing address
67 BURNSIDE AVE, EAST HARTFORD, CT 06108-3408
(704) 506-6267
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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