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Organization
PETALUMA PEOPLE SERVICES CENTER
Active
Organization
PETALUMA PEOPLE SERVICES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIRA S. KAYLER MFC 46211 (DIRECTOR OF COUNSELING AND)
(707) 765-8488
Entity
Organization
Contact information
Practice address
1500 PETALUMA BLVD. SOUTH, PETALUMA, CA 94952-0000
(707) 765-8488
(707) 765-8482
Mailing address
1500 PETALUMA BLVD. SOUTH, PETALUMA, CA 94952-0000
(707) 765-8488
(707) 765-8482
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RU49719
MEDICAL
CA
Enumeration date
02/16/2007
Last updated
04/23/2012
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