Mcyp Behavioral Health Services - Medication Support
LBN: Mendocino County Youth Project
Mcyp Behavioral Health Services - Medication Support is an health care organization with primary practice located at 376 E Gobbi St Ste B , Ukiah CA 95482-5511. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Mendocino County Youth Project can be contacted via phone (707) 463-4915, or through Ambrois, Mimine via phone (707) 463-4915.
Contact Information
Primary practice address
376 E Gobbi St Ste B
Ukiah CA 95482-5511
Phone: (707) 463-4915
Fax:
Website:
Authorized official contact:
Name: Ambrois, Mimine Licensed Clinical Social Worker (LCSW)
Phone: (707) 463-4915
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1992233159 |
|---|---|
| LBN Legal business name | Mendocino County Youth Project |
| DBA Doing business as | Mcyp Behavioral Health Services - Medication Support |
| Authorized official | Ambrois, Mimine Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 31st, 2017 |
| Last updated | Jun 16th, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992233159 | NPPES |
| California | MEDICAID | 94-2882841 |
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