| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 810 Grove St, Sonoma, 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 |
|---|---|
810 Grove St Sonoma CA 95476-5328 Ph: () - | 810 Grove St Sonoma CA 95476-5328 Ph: (707) 565-4700 |
| NPI Number | 1295167070 |
|---|---|
| Provider Enumeration Date | 08/05/2013 |
| Last Update Date | 08/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295167070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Sonoma Valley Family Therapy Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 814 Broadway, Sonoma, CA 95476 Phone: 707-509-8031 Fax: 707-339-8339 | |
Pacific Forensic Psychology Associates, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19230 Sonoma Highway, Building 200, Sonoma, CA 95476 Phone: 916-224-0212 | |
De Colores Arts Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 276 E Napa St, Sonoma, CA 95476 Phone: 510-939-0821 | |
Sonoma Valley Family Therapy Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 814 Broadway, Sonoma, CA 95476 Phone: 707-509-8031 Fax: 707-339-8339 |