Dhs Mental Health - Wellness Center | |
3400 Chanate Rd Santa Rosa CA 95404-1710 | |
(707) 565-4850 | |
Not Available |
Full Name | Dhs Mental Health - Wellness Center |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 3400 Chanate Rd, Santa Rosa, California |
Authorized Official Name and Position | Diana L. Stornetta (COMPLIANCE AUDITOR ACCOUNTANT III) |
Authorized Official Contact | 7075654782 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dhs Mental Health - Wellness Center 3400 Chanate Rd Santa Rosa CA 95404-1710 Ph: (707) 565-4850 | Dhs Mental Health - Wellness Center 3400 Chanate Rd Santa Rosa CA 95404-1710 Ph: (707) 565-4850 |
NPI Number | 1639207103 |
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Provider Enumeration Date | 02/28/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639207103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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