Organization · Type 2 NPI
Department of Health Services
Mental Health Clinic/Center (Including Community Mental Health Center) · Santa Rosa, CA
NPI number
1407068992
Active
Practice location
617 W 9th St
Santa Rosa, CA 95401-5438
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1407068992
Department of Health Services's National Provider Identifier is 1407068992, issued on May 4, 2007. 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 Aug 22, 2020.