Healthcare Provider Details

I. General information

NPI: 1366886434
Provider Name (Legal Business Name): COUNTY OF GLENN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2013
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1167 E SOUTH ST
ORLAND CA
95963-9136
US

IV. Provider business mailing address

242 N VILLA AVE
WILLOWS CA
95988-2641
US

V. Phone/Fax

Practice location:
  • Phone: 530-865-6459
  • Fax:
Mailing address:
  • Phone: 530-934-6582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ERIN VALDEZ
Title or Position: DEPUTY DIRECTOR
Credential:
Phone: 530-934-1432