HSS 1 Stop Fort Sage
Organization Active NPI Community/Behavioral Health Agency · Herlong, CA
NPI 1720277403 · NPPES record last updated Jul 3, 2008
Key facts
- NPI
- 1720277403
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- HSS 1 STOP FORT SAGE
- Practice address
- D.S. Hall Street
BLDG 170
Herlong, CA 96130 - Phone
- (530) 251-8108
- NPI assigned
- Oct 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Ken Crandall, A.S.W.
- Title
- Director of Mental Health Services
- Phone
- (530) 251-8108
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- County of Lassen
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
D.S. Hall Street
BLDG 170
Herlong, CA 96130
Mailing address
D.S. Hall Street
BLDG 170
Herlong, CA 96130
Phone (530) 251-8108
Other names
- Herlong One Stop Center
Other providers in Herlong, CA
All providers in Herlong, CA · Community/Behavioral Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.