Organization
HUMBOLDT COUNTY PROBATION SYSTEM OF CARE
Active
Other names
PROBATION SYSTEM OF CARE SATELLITE
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS RASINES (CHIEF)
(707) 268-3308
Entity
Organization
Contact information
Practice address
2002 HARRISON AVE, EUREKA, CA 95501-3212
(707) 268-3308
(707) 443-7139
Mailing address
2002 HARRISON AVE, EUREKA, CA 95501-3212
(707) 268-3308
(707) 443-7139
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
LCS17461
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1267
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
04/12/2007
Last updated
08/22/2020
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