Organization · Type 2 NPI

County of Sonoma

Adolescent and Children Mental Health Clinic/Center · Santa Rosa, CA

NPI number 1629124037 Active

Practice location

2235 Challenger Way Ste 101, 103, 107
Santa Rosa, CA 95407-5458

Call (707) 565-4917 Map

Mailing address

2235 Challenger Way Ste 107
Santa Rosa, CA 95407-5421

Specialties and licenses

Taxonomy	Code	License
Adolescent and Children Mental Health Clinic/Center Primary	261QM0855X	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 Santa Rosa

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NPI record

NPI: 1629124037
Entity type: Organization (Type 2)
Issued: Jan 26, 2007
Last updated: Sep 15, 2025
Status: Active
Subpart: Yes of County of Sonoma

Other names

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Adult Medication Support Services · doing business as
Adult Medication Support Services · doing business as

Authorized official

Ruby Zhang
Department Analyst
(707) 565-7846

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629124037

County of Sonoma's National Provider Identifier is 1629124037, issued on Jan 26, 2007. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Santa Rosa, CA. The record was last updated on Sep 15, 2025.