Organization
EXCEL ACADEMY SHASTA COUNTY MENTAL HEALTH
Active
Parent organization
COUNTY OF SHASTA
Other names
Excel Academy
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF SHASTA
Authorized official
MARK MONTGOMERY PSYD (DIRECTOR OF MENTAL HEALTH)
(530) 225-5200
Entity
Organization
Contact information
Practice address
3711 OASIS RD, REDDING, CA 96003-0397
(530) 225-5200
(530) 225-5977
Mailing address
PO BOX 496048, REDDING, CA 96049-6048
(530) 225-5200
(530) 225-5977
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4578
—
CA
Enumeration date
01/10/2007
Last updated
11/16/2010
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