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Organization
COUNTY OF CALAVERAS
Active
Organization
COUNTY OF CALAVERAS
Active
Other names
Calaveras County Behavioral Health Services Annex, Calaveras County Behavioral Health Services Annex
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY MEILY (PROGRAM MANAGER)
(209) 754-6516
Entity
Organization
Contact information
Practice address
373 W SAINT CHARLES ST, SUITE E, SAN ANDREAS, CA 95249
(209) 754-6525
Mailing address
891 MOUNTAIN RANCH RD, SAN ANDREAS, CA 95249-9713
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
08/22/2007
Last updated
12/15/2023
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