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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