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7345 Burton Ave Rohnert Park CA 94928-3396 | |
(707) 585-6108 | |
(707) 585-6155 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 7345 Burton Ave, Rohnert Park, California |
Authorized Official Name and Position | Robin Bowen (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7075856108 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3650 Standish Ave Santa Rosa CA 95407-8113 Ph: (707) 585-6108 | 7345 Burton Ave Rohnert Park CA 94928-3396 Ph: (707) 585-6108 |
NPI Number | 1619385648 |
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Provider Enumeration Date | 07/22/2014 |
Last Update Date | 12/11/2014 |
Identifier | Type | State | Issuer |
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1619385648 | 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 |