Organization · Type 2 NPI

Department of Health

Mental Health Clinic/Center (Including Community Mental Health Center) · Santa Rosa, CA

NPI number 1164820874 Active

Practice location

2777 Ventura Ave
Santa Rosa, CA 95403-2226

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

12 other providers at this address

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About NPI 1164820874

Department of Health's National Provider Identifier is 1164820874, issued on Dec 11, 2014. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Santa Rosa, CA. The record was last updated on Jan 16, 2015.