BUTLER VALLEY NPI 1043492358

NPI Information

BUTLER VALLEY is a community based residential treatment facility, intellectual and/or developmental disabilities in Arcata, CA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. BUTLER VALLEY NPI is 1043492358. The provider is registered as an organization entity type.

The provider's business location address is:

380 12TH ST
ARCATA, CA
ZIP 95521-914
Phone: (707) 822-0301

The provider's authorized official is Suzette Ott .
The authorized official title is Executive Director and has the following contact phone number (707) 442-2451.

The CLIA number assigned to this NPI record is 05D2265135 - other - government employment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/28/2007 and was last updated on 11/28/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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