Provider Demographics
NPI:1851793046
Name:COUNTY OF DEL NORTE
Entity Type:Organization
Organization Name:COUNTY OF DEL NORTE
Other - Org Name:DEPARTMENT OF HEALTH AND HUMAN SERVICES ALCOHOL AND OTHER DRUG
Other - Org Type:Other Name
Authorized Official - Title/Position:PROGRAM COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CUMBRA
Authorized Official - Suffix:
Authorized Official - Credentials:CADC-II
Authorized Official - Phone:707-464-4813
Mailing Address - Street 1:1279 2ND ST STE C
Mailing Address - Street 2:
Mailing Address - City:CRESCENT CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95531-4134
Mailing Address - Country:US
Mailing Address - Phone:707-464-4813
Mailing Address - Fax:707-465-1442
Practice Address - Street 1:1279 2ND ST STE C
Practice Address - Street 2:
Practice Address - City:CRESCENT CITY
Practice Address - State:CA
Practice Address - Zip Code:95531-4134
Practice Address - Country:US
Practice Address - Phone:707-464-0860
Practice Address - Fax:707-465-0855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-19
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health