| NPI | 1578685210 |
|---|---|
| Other Name | SHASTA TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | BARBARA IRENE GEPHART Director 530-222-4787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA IMF51591) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |