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Organization
COUNTY OF SHASTA
Active
Organization
COUNTY OF SHASTA
Active
Parent organization
COUNTY OF SHASTA
Other names
Shasta County Mental Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF SHASTA
Authorized official
MIGUEL RODRIGUEZ (DIRECTOR OF MENTAL HEALTH)
(530) 225-5965
Entity
Organization
Contact information
Practice address
2640 BRESLAUER WAY, REDDING, CA 96001-4246
(530) 225-5200
(530) 225-5977
Mailing address
PO BOX 496048, REDDING, CA 96049-6048
(530) 225-5200
(530) 225-5977
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4515
—
CA
05
—
4578
—
CA
05
—
4579
—
CA
05
—
4580
—
CA
05
—
4581
—
CA
01
—
ZZZ85235Z
BLUE SHIELD CALIFORNIA
CA
Enumeration date
07/08/2005
Last updated
05/20/2024
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