Organization
EMPIRE HOTEL ALCOHOLIC REHABILITION INC.
Active
Other names
Empire Outpatient Services
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA A NEALY CASII CADCII (EXECUTIVE DIRECTOR)
(530) 243-7470
Entity
Organization
Contact information
Practice address
5014 SHASTA DAM BLVD., SHASTA LAKE CITY, CA 96019-0777
(530) 275-1076
(530) 275-3717
Mailing address
1237 CALIFORNIA ST, REDDING, CA 96001-0618
(530) 243-7470
(530) 243-7477
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
450001AN
CA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
450001BN
CA
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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