Organization
COUNTY OF HUMBOLDT
Active
Other names
Adolescent Treatment Program
Organization subpart
No
Provider details
NPI number
Authorized official
EMI BOTZLER-ROGERS MFT (MENTAL HEALTH DIRECTOR)
(707) 268-2990
Entity
Organization
Contact information
Practice address
2004 HARRISON AVE RM 3-4, EUREKA, CA 95501-3212
(707) 268-2990
Mailing address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/14/2019
Last updated
08/05/2019
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