Provider Demographics
NPI:1558632331
Name:LASSEN COUNTY MENTAL HEALTH
Entity type:Organization
Organization Name:LASSEN COUNTY MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MH FISCAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGARVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-251-8080
Mailing Address - Street 1:555 HOSPITAL LN
Mailing Address - Street 2:
Mailing Address - City:SUSANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:96130-4808
Mailing Address - Country:US
Mailing Address - Phone:530-251-8080
Mailing Address - Fax:530-251-5884
Practice Address - Street 1:557 HOSPITAL LN
Practice Address - Street 2:
Practice Address - City:SUSANVILLE
Practice Address - State:CA
Practice Address - Zip Code:96130-4808
Practice Address - Country:US
Practice Address - Phone:530-251-8080
Practice Address - Fax:530-251-5884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-25
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty