Organization
YOUTH FOR CHANGE
Active
Other names
Maxwell House Family Support Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY LISA KELLY (AUTHORIZED OFFICIAL)
(530) 894-5933
Entity
Organization
Contact information
Practice address
6083 MAXWELL DR, PARADISE, CA 95969-4025
(530) 762-1811
(530) 894-5791
Mailing address
6083 MAXWELL DR, PARADISE, CA 95969-4025
(530) 762-1811
(530) 894-5791
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2017
Last updated
07/21/2022
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