| NPI | 1972212967 |
|---|---|
| Former Legal Business Name | SHASTA MEADOWS WELLNESS CENTER PC |
| Entity Type | Organization |
| Authorized Contact | JAMES ROSS TAGGART Owner 530-215-3820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2023-02-22 |