Organization
COMMON GOALS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH J FESTERSEN (EXECUTIVE DIRECTOR)
(530) 274-2000
Entity
Organization
Contact information
Practice address
256 BUENA VISTA ST, SUITE 100, GRASS VALLEY, CA 95945-7239
(530) 274-2000
(530) 274-2116
Mailing address
256 BUENA VISTA ST, SUITE 100, GRASS VALLEY, CA 95945-7239
(530) 274-2000
(530) 274-2116
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2902
—
CA
Enumeration date
10/29/2014
Last updated
06/11/2015
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