Organization · Type 2 NPI
California Human Development Corporation
Substance Use Disorder Rehabilitation Clinic/Center · Santa Rosa, CA
NPI number
1104331933
Active
Practice location
2400A County Center Dr
Santa Rosa, CA 95403-3004
Fax (707) 546-1937
Mailing address
3315 Airway Dr
Santa Rosa, CA 95403-2005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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About NPI 1104331933
California Human Development Corporation's National Provider Identifier is 1104331933, issued on Dec 1, 2017. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Santa Rosa, CA. The record was last updated on Dec 1, 2017.