Organization
HUMBOLDT COUNTY BEHAVIORAL HEALTH
Active
Other names
Willow Creek Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
EMI BOTZLER-ROGERS LMFT (BEHAVIORAL HEALTH DIRECTOR)
(707) 268-2990
Entity
Organization
Contact information
Practice address
77 WALNUT WAY, WILLOW CREEK, CA 95573
(707) 268-2990
Mailing address
720 WOOD ST, EUREKA, CA 95501-4413
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000012AM
—
CA
Enumeration date
10/27/2010
Last updated
08/10/2020
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