Organization
KEYSTONE SCHOOL ELMIRA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEILA MCCARTHY M.A (PRINCIPAL)
(707) 453-6227
Entity
Organization
Contact information
Practice address
5416 HOLDENER ROAD, ELMIRA, CA 95625
(707) 453-6227
(707) 453-6957
Mailing address
PO BOX 525, ELMIRA, CA 95625-0525
(707) 453-6227
(707) 453-6957
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
48705736204887
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251S00000X
—
CA
Enumeration date
04/27/2007
Last updated
08/22/2020
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