Social Advocates For Youth | |
2447 Summerfield Road Santa Rosa CA 95405 | |
(707) 544-3299 | |
(707) 544-6837 |
Full Name | Social Advocates For Youth |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 2447 Summerfield Road, Santa Rosa, California |
Authorized Official Name and Position | Elizabeth Goldman (COUNSELING SERVICES PROGRAM MANAGER) |
Authorized Official Contact | 7078003947 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Social Advocates For Youth 2447 Summerfield Road Santa Rosa CA 95405 Ph: (707) 544-3299 | Social Advocates For Youth 2447 Summerfield Road Santa Rosa CA 95405 Ph: (707) 544-3299 |
NPI Number | 1790822955 |
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Provider Enumeration Date | 01/30/2007 |
Last Update Date | 01/11/2016 |
Identifier | Type | State | Issuer |
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1790822955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | 110000058 (California) | Primary |
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