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Organization
OPEN LINE GROUP HOMES, INC.
Active
Organization
OPEN LINE GROUP HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA ROBINSON (MENTAL HEALTH DIRECTOR)
(530) 246-7172
Entity
Organization
Contact information
Practice address
4625 MOUNTAIN LAKES BLVD, REDDING, CA 96003-1450
(530) 246-7172
Mailing address
PO BOX 992197, REDDING, CA 96099-2197
(530) 246-7172
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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