COUNTY OF SHASTA

NPI # 

Practice Address:

2615 Breslauer Way

Redding, CA, 96001-4247

Practice Phone:

530-245-6411

Practice Fax:

530-225-5245

License Number:

4523

License State:

CA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Rehabilitation, Substance Use Disorder

Taxonomy Code:

261QR0405X