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GRANITE WELLNESS CENTERS NPI 1710257704


NPI Information

NPI: 1710257704
Provider Name: GRANITE WELLNESS CENTERS

Former Legal Business Name: COMMUNITY RECOVERY RESOURCES

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
12183 LOCKSLEY LN STE 101-105
AUBURN, CA
ZIP 95602
Phone: (530) 885-1961
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GRANITE WELLNESS CENTERS is a community behavioral health in Auburn, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. GRANITE WELLNESS CENTERS NPI is 1710257704. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Community Recovery Resources.

The provider's business location address is:

12183 LOCKSLEY LN STE 101-105
AUBURN, CA
ZIP 95602-004
Phone: (530) 885-1961
Fax: (530) 889-1304

The provider's authorized official is Elaine Ebbert .
The authorized official title is Operations Director and has the following contact phone number (530) 878-5166.

The enumeration date for this NPI number is 1/6/2012 and was last updated on 5/22/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health310019ANCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
131ACOTHERCALIFORNIAMEDI-CAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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