Organization · Type 2 NPI
Mendocino County
Adolescent and Children Mental Health Clinic/Center · Willits, CA
Practice location
474 E Valley St
Willits, CA 95490-3606
Fax (707) 472-2331
Mailing address
1120 S Dora St
Ukiah, CA 95482-6340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Agency | 251B00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center Primary | 261QM0855X | None listed |
| Exclusive Provider Organization | 302F00000X | None listed |
Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Other adolescent and children mental health clinic/center providers in Willits
About NPI 1629107735
Mendocino County's National Provider Identifier is 1629107735, issued on Mar 5, 2007. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Willits, CA. The record was last updated on Jan 17, 2024.