Organization
BUTLER VALLEY
Active
Parent organization
BUTLER VALLEY INCORPORATED
Organization subpart
Yes
Provider details
NPI number
Legal business name
BUTLER VALLEY INCORPORATED
Authorized official
SUZETTE OTT (EXECUTIVE DIRECTOR)
(707) 442-2451
Entity
Organization
Contact information
Practice address
380 12TH ST, ARCATA, CA 95521-5914
(707) 822-0301
Mailing address
5245 VANCE ST, EUREKA, CA 95503-6350
(707) 442-2451
(707) 445-1887
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
LTC60058F
CA
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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