Provider Demographics
NPI:1114145752
Name:SIERRA COUNTY
Entity Type:Organization
Organization Name:SIERRA COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUD PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:SZOPA
Authorized Official - Suffix:
Authorized Official - Credentials:SUDCC II
Authorized Official - Phone:530-993-6746
Mailing Address - Street 1:PO BOX 265
Mailing Address - Street 2:
Mailing Address - City:LOYALTON
Mailing Address - State:CA
Mailing Address - Zip Code:96118-0265
Mailing Address - Country:US
Mailing Address - Phone:530-993-6746
Mailing Address - Fax:530-993-6759
Practice Address - Street 1:704 MILL ST
Practice Address - Street 2:
Practice Address - City:LOYALTON
Practice Address - State:CA
Practice Address - Zip Code:96118-0265
Practice Address - Country:US
Practice Address - Phone:530-993-6746
Practice Address - Fax:530-993-6759
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SIERRA COUNTY MENTAL HEALTH,DRUG,ALCOHOL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health