Organization
SIERRA SUMMIT BEHAVIORAL HEALTH & FAMILY THERAPY A PROFESSIONAL CORPOR
Active
Other names
Sierra Summit Behavioral Health, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TALAL H. ALSALEEM LMFT (CEO/ CLINICAL DIRECTOR)
(530) 845-4602
Entity
Organization
Contact information
Practice address
350 CROWN POINT CIR, SUITE 150, GRASS VALLEY, CA 95945-9088
(530) 845-4602
Mailing address
1315 HAZEL ST, GRIDLEY, CA 95948-2409
(530) 845-4602
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
49918
CA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
49918
CA
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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