Provider First Line Business Practice Location Address:
2640 BRESLAUER WAY
Provider Second Line Business Practice Location Address:
SHASTA CO HEALTH&HUMAN SVC, MENTAL HEALTH BRANCH
Provider Business Practice Location Address City Name:
REDDING
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96001-4246
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-229-8041
Provider Business Practice Location Address Fax Number:
530-225-3866
Provider Enumeration Date:
07/03/2007