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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