| Mendocino Coast Hospitality Center | |
|
101 N Franklin St Fort Bragg CA 95437-3602 | |
| (707) 961-0172 | |
| Not Available |
| Full Name | Mendocino Coast Hospitality Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 101 N Franklin St, Fort Bragg, California |
| Authorized Official Name and Position | Anna Shaw (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7078131400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mendocino Coast Hospitality Center Po Box 2168 Fort Bragg CA 95437-2168 Ph: () - | Mendocino Coast Hospitality Center 101 N Franklin St Fort Bragg CA 95437-3602 Ph: (707) 961-0172 |
| NPI Number | 1831522333 |
|---|---|
| Provider Enumeration Date | 08/20/2013 |
| Last Update Date | 02/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831522333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LMFT92510 (California) | Primary |
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