| Lifeworks | |
|
333 Casa Grande Road Petaluma CA 94954-5799 | |
| (707) 789-0568 | |
| (707) 778-4687 |
| Full Name | Lifeworks |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 333 Casa Grande Road, Petaluma, California |
| Authorized Official Name and Position | Jill W Royce (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7075682300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeworks 1200 College Avenue Santa Rosa CA 95404-3908 Ph: (707) 568-2300 | Lifeworks 333 Casa Grande Road Petaluma CA 94954-5799 Ph: (707) 789-0568 |
| NPI Number | 1437360989 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 08/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437360989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PSY13055 (California) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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