Organization · Type 2 NPI

Missing Elements

Community/Behavioral Health Agency · Santa Rosa, CA

NPI number 1487908620 Active

Practice location

1717 Yulupa Ave Ste 5
Santa Rosa, CA 95405-6201

Call (707) 560-1051 Map

Fax (866) 803-4979

Mailing address

PO Box 882
Santa Rosa, CA 95402-0882

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Community/Behavioral Health Agency Primary	251S00000X	IMF55305 (CA)
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1487908620

Missing Elements's National Provider Identifier is 1487908620, issued on Nov 8, 2012. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Apr 1, 2024.