| Community Mental Health Center-cloverdale | |
|
100 W 3rd St Cloverdale CA 95425-3204 | |
| (707) 894-4715 | |
| Not Available |
| Full Name | Community Mental Health Center-cloverdale |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 100 W 3rd St, Cloverdale, California |
| Authorized Official Name and Position | Diana Stornetta (COMPLIANCE AUDITOR/RISK MANAGEMENT) |
| Authorized Official Contact | 7075654782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Mental Health Center-cloverdale 100 W 3rd St Cloverdale CA 95425-3204 Ph: () - | Community Mental Health Center-cloverdale 100 W 3rd St Cloverdale CA 95425-3204 Ph: (707) 894-4715 |
| NPI Number | 1386076156 |
|---|---|
| Provider Enumeration Date | 08/05/2013 |
| Last Update Date | 08/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386076156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Cloverdale Counseling Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 N Cloverdale Blvd, Cloverdale, CA 95425 Phone: 707-635-9504 | |
Community Mental Health Center-cloverdale Regional Satelitte Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 W 3rd St, Cloverdale, CA 95425 Phone: 187-770-0527 |