Provider Demographics
NPI:1073754347
Name:THE CSU, CHICO RESEARCH FOUNDATION
Entity Type:Organization
Organization Name:THE CSU, CHICO RESEARCH FOUNDATION
Other - Org Name:PASSAGES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:530-898-6191
Mailing Address - Street 1:400 W 1ST ST
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95929-0799
Mailing Address - Country:US
Mailing Address - Phone:530-898-5923
Mailing Address - Fax:530-898-4870
Practice Address - Street 1:25 MAIN ST
Practice Address - Street 2:SUITE 202
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95929-1000
Practice Address - Country:US
Practice Address - Phone:530-898-5923
Practice Address - Fax:530-898-4870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-17
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health