| Shasta Treatment Center | |
|
1175 Hartnell Ave Suite C Redding CA 96002-2135 | |
| (530) 222-4787 | |
| Not Available |
| Full Name | Shasta Treatment Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1175 Hartnell Ave, Redding, California |
| Authorized Official Name and Position | Barbara Irene Gephart (DIRECTOR) |
| Authorized Official Contact | 5302224787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shasta Treatment Center 11417 Puffin Way Redding CA 96003-1691 Ph: (530) 245-9397 | Shasta Treatment Center 1175 Hartnell Ave Suite C Redding CA 96002-2135 Ph: (530) 222-4787 |
| NPI Number | 1578685210 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578685210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | IMF51591 (California) | Primary |
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