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Organization
COUNTY OF MENDOCINO
Active
Organization
COUNTY OF MENDOCINO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER CRISS (PROGRAM ADMINISTRATOR)
(707) 468-7061
Entity
Organization
Contact information
Practice address
555 S ORCHARD AVE, UKIAH, CA 95482-5018
(707) 468-7061
Mailing address
747 S STATE ST., ATTENTION: HEATHER CRISS, UKIAH, CA 95482
(707) 468-7061
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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