# COUNTY OF MENDOCINO

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

## Provider details

- **NPI number:** 1174235378
- **Authorized official:** HEATHER CRISS (PROGRAM ADMINISTRATOR)
- **Authorized official phone:** (707) 468-7061

## Contact information

- **Practice address:** 737 S STATE ST., ATTENTION: HEATHER CRISS, UKIAH, CA 95482-9548
- **Practice address phone:** (707) 468-7061
- **Practice address fax:** (707) 463-7744
- **Mailing address:** 747 S STATE ST., ATTENTION: HEATHER CRISS, UKIAH, CA 95482
- **Mailing address phone:** (707) 468-7061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/19/2022
- **Last updated:** 01/05/2023