Organization
MILESTONES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY S ANTOON LCSW (DIRECTOR)
(530) 623-8293
Entity
Organization
Contact information
Practice address
80B NUGGET LANE, WEAVERVILLE, CA 96093
(530) 623-3515
(530) 623-1447
Mailing address
PO BOX 1640, WEAVERVILLE, CA 96093-1640
(530) 623-3515
(530) 623-1447
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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