Provider Demographics
NPI:1245582303
Name:COUNTY OF BUTTE
Entity Type:Organization
Organization Name:COUNTY OF BUTTE
Other - Org Name:CHICO COUNSELING CENTER PSYCH SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:ASSISTANT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILNER
Authorized Official - Suffix:
Authorized Official - Credentials:MPA, CPA
Authorized Official - Phone:530-891-2980
Mailing Address - Street 1:109 PARMAC RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2294
Mailing Address - Country:US
Mailing Address - Phone:530-891-2980
Mailing Address - Fax:530-895-6548
Practice Address - Street 1:586 RIO LINDO AVE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1817
Practice Address - Country:US
Practice Address - Phone:530-891-2945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-12
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health