Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation |
261QR0400X | B4[14] | Rehabilitation Agency |
| NPI # | 1265567622 |
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| LBN Legal business name | COUNTY OF SHASTA THROUGH HEALTH & HUMAN SERVICES AGENCY | ||||
| Authorized official | CHRISTINE TRIANTAFYLLOU - (REDDING CCS MTU THERAPIST SUPERVISO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 02/23/2007 | ||||
| Last updated | 03/26/2019 - About 7 years ago | ||||
| Identifiers |
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