Organization
PSYCHIATRIC CARE MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLGA SEGAL MD (PRESIDENT)
(707) 279-2932
Entity
Organization
Contact information
Practice address
3455 WESTRIDGE DR, KELSEYVILLE, CA 95451-8227
(707) 279-2932
Mailing address
3455 WESTRIDGE DR, KELSEYVILLE, CA 95451-8227
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A85774
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A857740
PIN NUMBER
CA
Enumeration date
07/14/2006
Last updated
10/20/2009
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