| County Of Sonoma | |
|
2227 Capricorn Way Ste 202 Santa Rosa CA 95407-5490 | |
| (707) 565-3049 | |
| Not Available |
| Full Name | County Of Sonoma |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2227 Capricorn Way Ste 202, Santa Rosa, California |
| Authorized Official Name and Position | Sean Barker (DHS RMU MANAGER) |
| Authorized Official Contact | 7075654861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Sonoma 1450 Neotomas Ave Ste 200 Santa Rosa CA 95405-7574 Ph: (707) 565-4861 | County Of Sonoma 2227 Capricorn Way Ste 202 Santa Rosa CA 95407-5490 Ph: (707) 565-3049 |
| NPI Number | 1285451864 |
|---|---|
| Provider Enumeration Date | 09/24/2024 |
| Last Update Date | 09/24/2024 |
| Certification Date | 09/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285451864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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