Organization
ALPINE COUNTY BHS-DMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE THORNBURG ELLIS (FISCAL & ADMINISTRATIVE SUPERVISOR)
(530) 694-1816
Entity
Organization
Contact information
Practice address
75C DIAMOND VALLEY RD STE I, MARKLEEVILLE, CA 96120-9512
(530) 694-1816
(530) 694-2387
Mailing address
75 DIAMOND VALLEY RD UNIT C, MARKLEEVILLE, CA 96120-9579
(530) 694-1816
(530) 694-2387
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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