Organization
LUTHERAN SOCIAL SERVICES OF NORTHERN CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIXTLICOATL R GONZALEZ (DATA SYSTEM MANAGER)
(916) 900-0614
Entity
Organization
Contact information
Practice address
2400 WASHINGTON AVE STE 120, REDDING, CA 96001-2839
(916) 453-2900
Mailing address
4390 47TH AVE, SACRAMENTO, CA 95824-3700
(916) 900-6140
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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