Basic Information
| Provider Information | |||||||||
| NPI: | 1023303294 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TEHAMA COUNTY HEALTH SERVICES AGENCY - DRUG AND ALCOHOL SERVICES | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 400 | ||||||||
| Address2: | |||||||||
| City: | RED BLUFF | ||||||||
| State: | CA | ||||||||
| PostalCode: | 960800400 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5305278491 | ||||||||
| FaxNumber: | 5305270420 | ||||||||
| Practice Location | |||||||||
| Address1: | 1850 WALNUT ST | ||||||||
| Address2: | SUITE G | ||||||||
| City: | RED BLUFF | ||||||||
| State: | CA | ||||||||
| PostalCode: | 960803611 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5305277893 | ||||||||
| FaxNumber: | 5305270240 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2011 | ||||||||
| LastUpdateDate: | 06/15/2011 | ||||||||
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| AuthorizedOfficialLastName: | LUCERO | ||||||||
| AuthorizedOfficialFirstName: | VALERIE | ||||||||
| AuthorizedOfficialMiddleName: | S. | ||||||||
| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 5305278491 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | COUNTY OF TEHAMA | ||||||||
| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.