Provider Demographics
NPI:1942852900
Name:PLUMAS COUNTY ALCOHOL AND DRUG
Entity Type:Organization
Organization Name:PLUMAS COUNTY ALCOHOL AND DRUG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:QAQI MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:R
Authorized Official - Last Name:MCGILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-283-6307
Mailing Address - Street 1:270 COUNTY HOSPITAL RD STE 127
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:CA
Mailing Address - Zip Code:95971-9174
Mailing Address - Country:US
Mailing Address - Phone:530-283-6307
Mailing Address - Fax:530-283-6045
Practice Address - Street 1:270 COUNTY HOSPITAL RD STE 109
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:CA
Practice Address - Zip Code:95971-9173
Practice Address - Country:US
Practice Address - Phone:530-283-6307
Practice Address - Fax:530-283-6045
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PLUMAS COUNTY MENTAL HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-10
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Multi-Specialty