| County Of Siskiyou Behavioral Health Services | |
|
1107 Ream Ave Mount Shasta CA 96067-9768 | |
| (530) 918-7200 | |
| (530) 918-7216 |
| Full Name | County Of Siskiyou Behavioral Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1107 Ream Ave, Mount Shasta, California |
| Authorized Official Name and Position | Rose Marie Bullock (ADMINISTRATIVE SERVICES MANAGER) |
| Authorized Official Contact | 5308414732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Siskiyou Behavioral Health Services 1107 Ream Ave Mt. Shasta CA 96067 Ph: (530) 918-7200 | County Of Siskiyou Behavioral Health Services 1107 Ream Ave Mount Shasta CA 96067-9768 Ph: (530) 918-7200 |
| NPI Number | 1427219237 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427219237 | NPI | - | NPPES |
| 01114108 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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