Provider Demographics
NPI:1225495310
Name:SHASTA COUNTY
Entity Type:Organization
Organization Name:SHASTA COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:NOAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SACZAWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-225-5943
Mailing Address - Street 1:2805 PIONEER DR
Mailing Address - Street 2:APT. 26
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-0245
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2640 BRESLAUER WAY
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-4246
Practice Address - Country:US
Practice Address - Phone:530-225-5943
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-21
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management