Organization
DEL NORTE MISSION POSSIBLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLAINE MAZZEI (EXECUTIVE DIRECTOR)
(707) 464-3812
Entity
Organization
Contact information
Practice address
1100 H ST, CRESCENT CITY, CA 95531-3422
(707) 954-7319
Mailing address
1765 NORTHCREST DR, CRESCENT CITY, CA 95531-8922
(707) 464-3812
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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