Black Oak Mine Unified School District

NPI #1043181563 in Georgetown, California

Provider Information

NPI Number: 1043181563
Entity Type: Organization
Organization Name: Black Oak Mine Unified School District
Primary Specialty: Case Management
Enumeration Date: Sep 16, 2025
Last Updated: Sep 16, 2025

Practice Location

Address: 6530 WENTWORTH SPRINGS RD
City: Georgetown
State: California
ZIP Code: 95634-9701
Phone: (530) 333-8320

Authorized Official

Name: CLORISA LYNN BLISH, CWCII WELLNESS COACH
Title: WELLNESS COACH
Phone: (530) 903-9188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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