Organization
EL DORADO MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM EDGAR MOVINSKY PT (PSYCHIATRIC TECHNICIAN)
(559) 361-9595
Entity
Organization
Contact information
Practice address
935B SPRING ST, PLACERVILLE, CA 95667-4523
(530) 621-6213
(530) 622-2385
Mailing address
935B SPRING ST, PLACERVILLE, CA 95667-4523
(530) 621-6213
(530) 622-2385
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
PT 36244
CA
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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