Organization
YUROK TRIBE
Active
Parent organization
YUROK TRIBE
Organization subpart
Yes
Provider details
NPI number
Legal business name
YUROK TRIBE
Authorized official
MS. SHOSHONI GENSAW-HOSTLER AMFT#123921 (BEHAVIORAL HEALTH DIRECTOR)
(707) 482-1350
Entity
Organization
Contact information
Practice address
190 KLAMATH BLVD, KLAMATH, CA 95548-1027
(707) 482-1350
Mailing address
PO BOX 1027, KLAMATH, CA 95548-1027
(707) 482-1350
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
05/15/2025
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