Provider Demographics
NPI:1194484998
Name:COUNTY OF GLENN
Entity type:Organization
Organization Name:COUNTY OF GLENN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SR. COMMUNITY ACTION MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ENRIQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-934-1496
Mailing Address - Street 1:345 YOLO ST
Mailing Address - Street 2:
Mailing Address - City:ORLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95963-1724
Mailing Address - Country:US
Mailing Address - Phone:530-934-1496
Mailing Address - Fax:
Practice Address - Street 1:345 YOLO ST
Practice Address - Street 2:
Practice Address - City:ORLAND
Practice Address - State:CA
Practice Address - Zip Code:95963-1724
Practice Address - Country:US
Practice Address - Phone:530-865-6165
Practice Address - Fax:530-865-1001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-09
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty
No251X00000XAgenciesSupports BrokerageGroup - Single Specialty