Organization
COUNTY OF SISKIYOU
Active
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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