Humboldt County Behavioral Health
Organization Active NPI Community/Behavioral Health Agency · Willow Creek, CA
NPI 1194025890 · NPPES record last updated Aug 10, 2020
Key facts
- NPI
- 1194025890
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- HUMBOLDT COUNTY BEHAVIORAL HEALTH
- Practice address
- 77 Walnut Way
Willow Creek, CA 95573 - Phone
- (707) 268-2990
- NPI assigned
- Oct 27, 2010
- Organization subpart
- No
Authorized official
- Name
- Emi Botzler-Rogers, LMFT
- Title
- Behavioral Health Director
- Phone
- (707) 268-2990
Corporate family (same tax ID) 34
National Provider Directory
- Tax ID family
- Humboldt County Mental
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
77 Walnut Way
Willow Creek, CA 95573
Mailing address
720 Wood St
Eureka, CA 95501-4413
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000012AM | Medicaid | CA |
Other names
- Willow Creek Clinic
Other providers in Willow Creek, CA
- Irene Graham
- John L Greenwood
- Roland N Grubb
- Sydney Haynes
- Shari Rachelle Hostler
- Humboldt Radiology Medical Group Inc
- Amanda Baer James
- William O. Jones
- Klamath Trinity Non-Emergency Transportation
- Patricia Komlenic
All providers in Willow Creek, CA · Community/Behavioral Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.