Lifeworks | |
1200 College Ave Santa Rosa CA 95404-3908 | |
(707) 568-2300 | |
(707) 568-2304 |
Full Name | Lifeworks |
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Speciality | Community/behavioral Health |
Location | 1200 College Ave, Santa Rosa, California |
Authorized Official Name and Position | Jill Royce (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7075682300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lifeworks 1200 College Ave Santa Rosa CA 95404-3908 Ph: (707) 568-2300 | Lifeworks 1200 College Ave Santa Rosa CA 95404-3908 Ph: (707) 568-2300 |
NPI Number | 1316383870 |
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Provider Enumeration Date | 05/10/2013 |
Last Update Date | 05/10/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316383870 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 251S00000X (California) | Primary |
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