Organization
HUMBOLDT COUNTY MENTAL HEALTH
Active
Organization
HUMBOLDT COUNTY MENTAL HEALTH
Active
Other names
Pine Grove Program
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA WHEELER LCSW (MENTAL HEALTH DIRECTOR)
(707) 268-2990
Entity
Organization
Contact information
Practice address
674 ALLARD AVE, EUREKA, CA 95503-5857
(707) 268-2900
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000001228
—
CA
Enumeration date
03/27/2007
Last updated
07/21/2022
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