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Organization
SENECA FAMILY OF AGENCIES
Active
Organization
SENECA FAMILY OF AGENCIES
Active
Parent organization
SENECA FAMILY OF AGENCIES
Other names
Sonoma Kuck Lane
Organization subpart
Yes
Provider details
NPI number
Legal business name
SENECA FAMILY OF AGENCIES
Authorized official
MR. SCOTT OSBORN (CHIEF OPERATING OFFICER)
(510) 520-0943
Entity
Organization
Contact information
Practice address
365 KUCK LN, PETALUMA, CA 94952
(510) 654-4004
Mailing address
8945 GOLF LINKS RD, OAKLAND, CA 94605-4124
(510) 317-1444
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015
—
CA
Enumeration date
11/18/2015
Last updated
08/19/2024
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