Organization
LASSEN COUNTY
Active
Other names
ICPS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI O'BRYAN MSW (DIRECTOR)
(530) 251-2653
Entity
Organization
Contact information
Practice address
1445 BUNYAN RD, SUITE B, SUSANVILLE, CA 96130-3201
(530) 251-8277
Mailing address
1445 BUNYAN RD, SUITE B, SUSANVILLE, CA 96130-3201
(530) 251-8277
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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