| Manzanita Services, Inc. | |
|
286 School St Willits CA 95490-3435 | |
| (707) 463-0405 | |
| Not Available |
| Full Name | Manzanita Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 286 School St, Willits, California |
| Authorized Official Name and Position | Susan Wynd Novotny (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7074630405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manzanita Services, Inc. Po Box 1424 Ukiah CA 95482-1424 Ph: (707) 972-9040 | Manzanita Services, Inc. 286 School St Willits CA 95490-3435 Ph: (707) 463-0405 |
| NPI Number | 1235566480 |
|---|---|
| Provider Enumeration Date | 10/02/2013 |
| Last Update Date | 10/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235566480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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