NPI
Potter Valley Youth and Community Center, Inc.
NPI 1679431795
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2026-01-15
- Last updated
- 2026-01-15
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 10270 Main Street Street
- City
- Potter Valley CA
- Postal code
- 95469
- Phone
- (707) 743-1789
Organization contact
- Name
- Alicia Logan
- Title
- Business Administrator
- Phone
- (707) 272-1097
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Potter Valley, CA. 39 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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