Provider Demographics
NPI:1669249983
Name:NORTH VALLEY BEHAVIORAL HEALTH, LLC
Entity type:Organization
Organization Name:NORTH VALLEY BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARNE
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:HYSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-790-2530
Mailing Address - Street 1:1535 PLUMAS CT
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-2960
Mailing Address - Country:US
Mailing Address - Phone:530-790-2530
Mailing Address - Fax:530-790-2533
Practice Address - Street 1:1214 E 8TH ST
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-3902
Practice Address - Country:US
Practice Address - Phone:530-758-7574
Practice Address - Fax:530-790-2530
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTH VALLEY BEHAVIORAL HEALTH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility