Organization
BUTTE COUNTY DEPARTMENT OF BEHAVIORAL HEATH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFRED L GOMES JR. BSW (INTERN)
(530) 872-6389
Entity
Organization
Contact information
Practice address
5910 CLARK RD, SUITE W, PARADISE, CA 95969-4856
(530) 872-6328
Mailing address
225 W LASSEN AVE, APT 1, CHICO, CA 95973-0115
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70365
SOLE PROPRIETOR
—
Enumeration date
09/28/2010
Last updated
09/28/2010
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