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Organization

COUNTY OF SHASTA

Active
Parent organization
COUNTY OF SHASTA
Other names
Shasta County Women's Recovery and Resiliency Service
Organization subpart
Yes

Provider details

NPI number
Legal business name
COUNTY OF SHASTA
Authorized official
ALEESHA EDWARDS (CLINICAL PROGRAM COORDINATOR)
(530) 245-6872
Entity
Organization

Contact information

Practice address
2615 BRESLAUER WAY, REDDING, CA 96001-4247
(530) 245-6411
(530) 225-5245
Mailing address
PO BOX 496005, REDDING, CA 96049-6005
(530) 229-8396
(503) 225-5950

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
4523
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
261QR0405X
DRUG MEDICAL
CA
Enumeration date
11/17/2009
Last updated
06/14/2024
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