Organization
COUNTY OF SISKIYOU
Active
Organization
COUNTY OF SISKIYOU
Active
Parent organization
COUNTY OF SISKIYOU BEHAVIORAL HEALTH
Other names
County of Siskiyou Behavioral Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF SISKIYOU BEHAVIORAL HEALTH
Authorized official
ROSE MARIE BULLOCK (ADMINISTRATIVE SERVICES MANAGER)
(530) 841-4732
Entity
Organization
Contact information
Practice address
1107 REAM AVE, MOUNT SHASTA, CA 96067-9768
(530) 918-7200
(530) 918-7216
Mailing address
1107 REAM AVE, MT. SHASTA, CA 96067
(530) 918-7200
(530) 918-7216
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01114108
—
CA
Enumeration date
06/24/2008
Last updated
09/23/2024
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