Organization
COUNTY OF SHASTA THROUGH HEALTH & HUMAN SERVICES AGENCY
Active
Parent organization
COUNTY OF SHASTA THROUGH HHSA
Other names
Shasta County CCS Redding MTU
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF SHASTA THROUGH HHSA
Authorized official
MRS. CHRISTINE RENEE TRIANTAFYLLOU OTR/L (REDDING CCS MTU THERAPIST SUPERVISO)
(530) 225-5574
Entity
Organization
Contact information
Practice address
2750 WIXON LANE, REDDING, CA 96001
(530) 225-5574
(530) 225-5563
Mailing address
2750 WIXON LANE, REDDING, CA 96001
(530) 225-5574
(530) 225-5563
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CCS00014F
MEDICAL
CA
Enumeration date
02/23/2007
Last updated
03/26/2019
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