# FRIEND OF BOON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134953045
- **Authorized official:** SIDNEY BURGESS (PRESIDENT)
- **Authorized official phone:** (707) 672-6153

## Contact information

- **Practice address:** 527 S STATE ST, UKIAH, CA 95482-4910
- **Practice address phone:** (707) 672-6153
- **Mailing address:** 500 COCHRANE AVE, UKIAH, CA 95482-5621
- **Mailing address phone:** (707) 672-6153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251300000X | Local Education Agency (LEA) | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |
| 261QR0800X | Recovery Care Clinic/Center | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 09/02/2024
- **Last updated:** 10/22/2024