Organization
SHASTA COUNTY REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAINA DONNER (OWNER)
(310) 343-8684
Entity
Organization
Contact information
Practice address
1300 WEST ST STE 204, REDDING, CA 96001-1692
(310) 343-8684
Mailing address
1300 WEST ST STE 204, REDDING, CA 96001-1692
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/21/2024
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