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Organization
ROSE GARDEN PSYCHIATRIC NURSING SERVICES
Active
Organization
ROSE GARDEN PSYCHIATRIC NURSING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CLUKIE (ADMINISTRATOR)
(813) 997-2099
Entity
Organization
Contact information
Practice address
4000 CAMINO TASSAJARA, DANVILLE, CA 94506-4711
(707) 690-0814
Mailing address
201 COGGINS DR APT B305, PLEASANT HILL, CA 94523-4573
(707) 690-0814
(352) 329-4217
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
07/20/2026
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