Organization
YOLO COUNTY ALCOHOL, DRUG AND MENTAL HEALTH
Active
Other names
Beamer Street
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK BRYAN MSW (DEPUTY DIRECTOR)
(530) 666-8532
Entity
Organization
Contact information
Practice address
178 W BEAMER ST, WOODLAND, CA 95695-2663
(530) 666-8655
Mailing address
178 W BEAMER ST, WOODLAND, CA 95695-2663
(530) 666-8655
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
570001BN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
575707
PROVIDER ID
CA
Enumeration date
05/08/2007
Last updated
08/22/2020
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