| |
1033 San Francisco Way Rohnert Park CA 94928 | |
(707) 586-9480 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 1033 San Francisco Way, Rohnert Park, California |
Authorized Official Name and Position | Nzinga Harrison (CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 9258254700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3480 Buskirk Ave Ste 300 Pleasant Hill CA 94523-4343 Ph: (925) 825-4700 | 1033 San Francisco Way Rohnert Park CA 94928 Ph: (707) 586-9480 |
NPI Number | 1255641411 |
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Provider Enumeration Date | 10/20/2010 |
Last Update Date | 07/03/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255641411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Supportive Steps Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6620 Redwood Dr, Rohnert Park, CA 94928 Phone: 707-494-3178 |