Organization
NORTH COAST NURTURE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA BARAHONA RIVERA (CLINIC COORDINATOR)
(707) 601-5622
Entity
Organization
Contact information
Practice address
1225 CENTRAL AVE STE 2, MCKINLEYVILLE, CA 95519-4390
(707) 601-5622
(707) 840-6036
Mailing address
1225 CENTRAL AVE STE 2, MCKINLEYVILLE, CA 95519-4390
(707) 601-5622
(707) 840-6036
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/10/2020
Last updated
04/10/2020
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