| County Of Sonoma | |
|
332 Eliza Way Santa Rosa CA 95409 | |
| (707) 565-1302 | |
| Not Available |
| Full Name | County Of Sonoma |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 332 Eliza Way, Santa Rosa, California |
| Authorized Official Name and Position | Sean Barker (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 332 Eliza Way Santa Rosa CA 95409 Ph: (707) 565-1302 | County Of Sonoma 332 Eliza Way Santa Rosa CA 95409 Ph: (707) 565-1302 |
| NPI Number | 1952120099 |
|---|---|
| Provider Enumeration Date | 10/07/2024 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952120099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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