Organization
MHN GOVERNMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLY MAYNARD (PRESIDENT & CEO)
(916) 353-6100
Entity
Organization
Contact information
Practice address
11299 SAN PABLO AVE, SUITE W, EL CERRITO, CA 94530-2184
(510) 215-8905
(510) 620-1765
Mailing address
2025 AEROJET RD, RANCHO CORDOVA, CA 95742-6418
(916) 353-6100
(916) 353-6809
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
07-008--02-120
CA
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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