Dmh Psychiatric Emergency Service | |
3322 Chanate Rd Santa Rosa CA 95404-1708 | |
(707) 576-8181 | |
Not Available |
Full Name | Dmh Psychiatric Emergency Service |
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Speciality | Clinic/center - Adult Mental Health |
Location | 3322 Chanate Rd, Santa Rosa, California |
Authorized Official Name and Position | Diana 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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Dmh Psychiatric Emergency Service 3322 Chanate Rd Santa Rosa CA 95404-1708 Ph: () - | Dmh Psychiatric Emergency Service 3322 Chanate Rd Santa Rosa CA 95404-1708 Ph: (707) 576-8181 |
NPI Number | 1336353952 |
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Provider Enumeration Date | 05/10/2007 |
Last Update Date | 08/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336353952 | NPI | - | NPPES |
4925 | Other | CA | STATE PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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