Organization
YOUTH FOR CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY LISA KELLY (AUTHORIZED OFFICIAL)
(530) 894-5933
Entity
Organization
Contact information
Practice address
1525 PLUMAS COURT, SUITES C & D, YUBA CITY, CA 95991
(530) 894-5933
(530) 894-5791
Mailing address
578 RIO LINDO AVE STE 3, CHICO, CA 95926-1800
(530) 894-5933
(530) 894-5791
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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