Provider Demographics
NPI:1275742405
Name:YUBA COUNTY CHILDREN AND FAMILIES AT RISK PROGRAM
Entity Type:Organization
Organization Name:YUBA COUNTY CHILDREN AND FAMILIES AT RISK PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER I
Authorized Official - Prefix:MISS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:EVANGELINA
Authorized Official - Last Name:BEILER
Authorized Official - Suffix:
Authorized Official - Credentials:MFT INTERN
Authorized Official - Phone:530-741-6275
Mailing Address - Street 1:209 6TH STREET
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95901
Mailing Address - Country:US
Mailing Address - Phone:530-741-6275
Mailing Address - Fax:530-749-7913
Practice Address - Street 1:209 6TH STREET
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:CA
Practice Address - Zip Code:95901
Practice Address - Country:US
Practice Address - Phone:530-741-6275
Practice Address - Fax:530-749-7913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF43125251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health