NPI 1043492358

Butler Valley

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Arcata, CA

Practice location

Address: 380 12th St, Arcata, CA 95521-5914
Phone: (707) 822-0301
Mailing address: 5245 Vance St, Eureka, CA 95503-6350

Authorised official

Name: Suzette Ott
Title: Executive Director
Phone: (707) 442-2451

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence LTC60058F (CA)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in California →

Registry record

NPI: 1043492358
Entity type: Organization
NPI issued: 28 Nov 2007
Record last updated: 28 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.