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Organization
PLACER COUNTY MENTAL HEALTH SECRET RAVINE
Active
Organization
PLACER COUNTY MENTAL HEALTH SECRET RAVINE
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
645 KENTUCKY GREENS WY, NEWCASTLE, CA 95658
(916) 415-4425
Mailing address
645 KENTUCKY GREENS WY, NEWCASTLE, CA 95658
(916) 415-4425
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3188
STATE OF CA MENTAL HEALTH
CA
Enumeration date
03/26/2007
Last updated
08/22/2020
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