Organization · Type 2 NPI

Shasta County

Mental Health Clinic/Center (Including Community Mental Health Center) · Redding, CA

NPI number 1194272369 Active

Practice location

2950 Polk Street, The Classroom
Redding, CA 96001

Call (530) 225-5200 Map

Mailing address

2640 Breslauer Way
Redding, CA 96001-4246

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

Other mental health clinic/center (including community mental health center) providers in Redding

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NPI record

NPI: 1194272369
Entity type: Organization (Type 2)
Issued: Sep 6, 2016
Last updated: Nov 29, 2021
Status: Active
Subpart: Yes of County of Shasta

Other names

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Woodlands · other name
Woodlands · other name

Authorized official

Mr. Donnell Ewert, MPH
Director of Mental Health
(530) 245-6750

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194272369

Shasta County's National Provider Identifier is 1194272369, issued on Sep 6, 2016. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Redding, CA. The record was last updated on Nov 29, 2021.