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Organization
DEPARTMENT OF HEALTH SERVICE
Active
Organization
DEPARTMENT OF HEALTH SERVICE
Active
Other names
3400 Regional Team
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA STORNETTA (COMPLIANCE AUDITOR ACCOUNTANT III)
(707) 565-4782
Entity
Organization
Contact information
Practice address
3400 CHANATE RD, SANTA ROSA, CA 95404-1710
(707) 565-4950
Mailing address
3400 CHANATE RD, SANTA ROSA, CA 95404-1710
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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