| Dhs-behavioral Health Sud Outpatient Services | |
|
2227 Capricorn Way Ste 206&213 Santa Rosa CA 95407-5478 | |
| (707) 565-4861 | |
| Not Available |
| Full Name | Dhs-behavioral Health Sud Outpatient Services |
|---|---|
| Speciality | Clinic/center |
| Location | 2227 Capricorn Way Ste 206&213, Santa Rosa, California |
| Authorized Official Name and Position | Ruby Zhang (DEPARTMENT ANALYST) |
| Authorized Official Contact | 7075657846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dhs-behavioral Health Sud Outpatient Services 2255 Challenger Way Ste 107 Santa Rosa CA 95407-5423 Ph: (707) 565-7450 | Dhs-behavioral Health Sud Outpatient Services 2227 Capricorn Way Ste 206&213 Santa Rosa CA 95407-5478 Ph: (707) 565-4861 |
| NPI Number | 1265949259 |
|---|---|
| Provider Enumeration Date | 12/29/2017 |
| Last Update Date | 06/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265949259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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