| NPI | 1962111401 |
|---|---|
| Doing Business As | SISKIYOU BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHEATS Office Manager 541-631-8634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2022-11-22 |