Organization
COMMON PURPOSE
Active
Organization
COMMON PURPOSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CHARLES DUFF III SUDCC III (PROGRAM DIRECTOR)
(530) 274-2000
Entity
Organization
Contact information
Practice address
256 BUENA VISTA ST STE 100, GRASS VALLEY, CA 95945-7239
(530) 274-2000
Mailing address
256 BUENA VISTA ST STE 100, GRASS VALLEY, CA 95945-7239
(530) 274-2000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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