Individual
MR. MARTIN A BETTENCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 LANDING CIR STE 1, CHICO, CA 95973-7901
(530) 898-8326
Mailing address
40 LANDING CIR STE 1, CHICO, CA 95973-7901
(530) 898-8326
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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