Organization
MOUNTAIN SIDE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON ESTRADA CADC-II (COO)
(979) 948-4129
Entity
Organization
Contact information
Practice address
1033 S AUBURN ST, COLFAX, CA 95713-9703
(888) 290-0925
Mailing address
70 COLLEGE WAY, AUBURN, CA 95603-5001
(970) 948-4129
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
11/13/2023
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