Lassen Aurora Network
NPI #1366920233 in Susanville, California
Provider Information
- NPI Number
- 1366920233
- Entity Type
- Organization
- Organization Name
- Lassen Aurora Network
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Aug 2, 2018
- Last Updated
- Aug 2, 2018
Practice Location
- Address
- 815 COTTAGE ST
- City
- Susanville
- State
- California
- ZIP Code
- 96130-4401
- Phone
- (530) 257-3864
Authorized Official
- Name
- KAM VENTO
- Title
- EXECUTIVE DIRECTOR
- Phone
- (530) 257-3864
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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