Organization
MARIE GREEN PSYCHIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA SHOUETTLER (MANAGER)
(209) 381-6800
Entity
Organization
Contact information
Practice address
300 E 15TH ST, MERCED, CA 95341-6217
(209) 381-6800
Mailing address
2976 M ST, MERCED, CA 95348-3214
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/02/2010
Last updated
10/02/2010
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