Organization
M A C T HEALTH BOARD INCORPORATED
Active
Parent organization
M A C T HEALTH BOARD INCORPORATED
Other names
MACT Behavioral Health, Valley Springs
Organization subpart
Yes
Provider details
NPI number
Legal business name
M A C T HEALTH BOARD INCORPORATED
Authorized official
JOHN SHAWVER ALEXANDER (EXECUTIVE DIRECTOR)
(209) 754-6262
Entity
Organization
Contact information
Practice address
1906 VISTA DEL LAGO DR STE K, VALLEY SPRINGS, CA 95252-9700
(209) 755-1490
(209) 459-4054
Mailing address
PO BOX 939, ANGELS CAMP, CA 95222-0939
(209) 754-6262
(209) 736-1814
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
10/17/2024
Last updated
06/12/2025
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