| Lifeworks Of Sonoma County | |
|
1260 N Dutton Ave Ste 105 & Ste 244 Santa Rosa CA 95401 | |
| (707) 568-2300 | |
| (707) 568-2304 |
| Full Name | Lifeworks Of Sonoma County |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1260 N Dutton Ave, Santa Rosa, California |
| Authorized Official Name and Position | Michelle Fountain (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7075682300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeworks Of Sonoma County 1260 N Dutton Ave Ste 105 & Ste 244 Santa Rosa CA 95401-7121 Ph: (707) 568-2300 | Lifeworks Of Sonoma County 1260 N Dutton Ave Ste 105 & Ste 244 Santa Rosa CA 95401 Ph: (707) 568-2300 |
| NPI Number | 1619295839 |
|---|---|
| Provider Enumeration Date | 05/12/2010 |
| Last Update Date | 09/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619295839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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