NPI:
1619178514
Provider Name:
EMPIRE HOTEL ALCOHOLIC REHABILITION INC.
Other Name: EMPIRE OUTPATIENT SERVICES
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
5014 SHASTA DAM BLVD.
SHASTA LAKE CITY, CA
ZIP 96019
Phone:
(530) 275-1076
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EMPIRE HOTEL ALCOHOLIC REHABILITION INC. is a rehabilitation and substance use disorder clinic center in Shasta Lake City, CA. EMPIRE HOTEL ALCOHOLIC REHABILITION INC. NPI is 1619178514. The provider is registered as an organization entity type.
The provider Other Name Is Empire Outpatient Services.
The provider's business location address is:
5014 SHASTA DAM BLVD.
SHASTA LAKE CITY, CA
ZIP 96019-777
Phone: (530) 275-1076
Fax: (530) 275-3717
The provider's authorized official is Patricia A Nealy .
The authorized official title is Executive Director and has the following contact phone number (530) 243-7470.
The enumeration date for this NPI number is 5/29/2007 and was last updated on 8/22/2020.