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Organization

COUNTY OF TUOLUMNE

Active
Other names
Tuolumne County Behavioral Health
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TAMARA DEMELLO MARISCAL (HCIS)
(209) 533-6261
Entity
Organization

Contact information

Practice address
197 MONO WAY, SONORA, CA 95370-5163
(209) 533-5400
(209) 588-9563
Mailing address
2 S GREEN STREET, SONORA, CA 95370-5163
(209) 533-6245
(209) 588-9563

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
11/27/2006
Last updated
02/02/2010
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