Organization
COUNTY OF SISKIYOU
Active
Other names
County of Siskiyou Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE MARIE BULLOCK (ADMINISTRATIVE SERVICES MANAGER)
(530) 841-4732
Entity
Organization
Contact information
Practice address
2060 CAMPUS DR, YREKA, CA 96097-9538
(530) 841-4100
(530) 841-4230
Mailing address
2060 CAMPUS DR, YREKA, CA 96097-9538
(530) 841-4100
(530) 841-4230
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01114108
—
CA
Enumeration date
04/24/2007
Last updated
05/03/2024
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