| Full Name | |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1011 Low Gap Road, Ukiah, California |
| Authorized Official Name and Position | Tom Pinizotto (DIRECTOR) |
| Authorized Official Contact | 7074722300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1120 S Dora St Ukiah CA 95482-3919 Ph: (707) 472-2300 | 1011 Low Gap Road Ukiah CA 95482 Ph: (707) 463-6878 |
| NPI Number | 1770705139 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 02/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770705139 | NPI | - | NPPES |
| 00023 | Medicaid | CA | |
| 2390 | Medicaid | CA |
Adventist Health Physicians Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 Hospital Dr Ste 101, Ukiah, CA 95482 Phone: 707-463-7428 | |
Tapestry Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 564 S Dora St Ste D, Ukiah, CA 95482 Phone: 707-463-0405 | |
Cep America - Neurology Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 Hospital Dr, Ukiah, CA 95482 Phone: 707-462-3111 | |
Bridging World Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 W Perkins St, Ukiah, CA 95482 Phone: 707-391-6400 Fax: 707-634-1416 | |