Organization · Type 2 NPI
Department of Health Service
Mental Health Clinic/Center (Including Community Mental Health Center) · Santa Rosa, CA
NPI number
1962616433
Active
Practice location
3400 Chanate Rd
Santa Rosa, CA 95404-1710
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...
Another provider at this address
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About NPI 1962616433
Department of Health Service's National Provider Identifier is 1962616433, issued on May 10, 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.