Organization
COUNTY OF CALAVERAS
Active
Organization
COUNTY OF CALAVERAS
Active
Other names
Calaveras County Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY MEILY (ADMINISTRATIVE ASSISTANT)
(209) 754-6516
Entity
Organization
Contact information
Practice address
373 W ST CHARLES STREET, SUITE E, SAN ANDREAS, CA 95249-9713
(209) 754-6555
Mailing address
891 MOUNTAIN RANCH RD, SAN ANDREAS, CA 95249-9713
(209) 754-6555
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01087700
—
CA
Enumeration date
03/18/2010
Last updated
11/04/2019
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