Provider Demographics
NPI:1588801450
Name:COUNTY OF LASSEN
Entity Type:Organization
Organization Name:COUNTY OF LASSEN
Other - Org Name:LASSEN COUNTY BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEALTH & SOCIAL SERVICES CHIEF FISC
Authorized Official - Prefix:MR
Authorized Official - First Name:PERRI
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-251-8255
Mailing Address - Street 1:1400 CHESTNUT ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:SUSANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:96130-3795
Mailing Address - Country:US
Mailing Address - Phone:530-251-8108
Mailing Address - Fax:530-251-8070
Practice Address - Street 1:1400 CHESTNUT ST
Practice Address - Street 2:SUITE A
Practice Address - City:SUSANVILLE
Practice Address - State:CA
Practice Address - Zip Code:96130-3795
Practice Address - Country:US
Practice Address - Phone:530-251-2610
Practice Address - Fax:530-252-2670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-14
Last Update Date:2018-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization