Organization
EL DODRADO MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BLOOM (CORDINATOR)
(530) 621-6332
Entity
Organization
Contact information
Practice address
935 B SPRING STREET, PLACERVILLE, CA 95667-4543
(530) 621-6116
Mailing address
935 B SPRING STREET, PLACERVILLE, CA 95667-4543
(530) 621-6116
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
097004267
CA
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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