| Substance Use Disorders Treatment | |
|
727 S. State Street Ukiah CA 95482-5815 | |
| (707) 472-2637 | |
| (707) 472-2657 |
| Full Name | Substance Use Disorders Treatment |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 727 S. State Street, Ukiah, California |
| Authorized Official Name and Position | Jenine Miller (BHRS DEPUTY DIRECTOR) |
| Authorized Official Contact | 7074722637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Substance Use Disorders Treatment 1120 S. Dora Street Ukiah CA 95482-6340 Ph: (707) 472-2637 | Substance Use Disorders Treatment 727 S. State Street Ukiah CA 95482-5815 Ph: (707) 472-2637 |
| NPI Number | 1265858575 |
|---|---|
| Provider Enumeration Date | 03/11/2014 |
| Last Update Date | 07/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265858575 | NPI | - | NPPES |
| OTHER | Other | OTHER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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