# R HOUSE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** R House Girl's Group Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528277969
- **Authorized official:** MIMI G DONOHUE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (707) 571-2215

## Contact information

- **Practice address:** 152 MIDDLE RINCON RD, SANTA ROSA, CA 95409-3409
- **Practice address phone:** (707) 571-2215
- **Practice address fax:** (707) 526-9672
- **Mailing address:** PO BOX 2587, SANTA ROSA, CA 95405-0587
- **Mailing address phone:** (707) 571-2215
- **Mailing address fax:** (707) 526-9672

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 496800338 | CA | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | 490011EN | CA | — |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 01/17/2013