| Sonoma Family Permanence Collaborative | |
|
160 Wikiup Dr Ste 102 Santa Rosa CA 95403-7776 | |
| (510) 317-1444 | |
| Not Available |
| Full Name | Sonoma Family Permanence Collaborative |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 160 Wikiup Dr Ste 102, Santa Rosa, California |
| Authorized Official Name and Position | Scott Osborn (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5105200943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonoma Family Permanence Collaborative 8945 Golf Links Rd Oakland CA 94605-4124 Ph: (510) 317-1444 | Sonoma Family Permanence Collaborative 160 Wikiup Dr Ste 102 Santa Rosa CA 95403-7776 Ph: (510) 317-1444 |
| NPI Number | 1205152733 |
|---|---|
| Provider Enumeration Date | 04/08/2010 |
| Last Update Date | 10/16/2023 |
| Certification Date | 10/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205152733 | NPI | - | NPPES |
| 0015 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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