Organization
SENECA FAMILY OF AGENCIES
Active
Parent organization
SENECA FAMILY OF AGENCIES
Other names
Seneca Compass - Bodega
Organization subpart
Yes
Provider details
NPI number
Legal business name
SENECA FAMILY OF AGENCIES
Authorized official
SANDY HOBSON (QUALITY ASSURANCE DIRECTOR)
(510) 725-5727
Entity
Organization
Contact information
Practice address
3710 BODEGA AVE, PETALUMA, CA 94952-8015
(510) 317-1444
Mailing address
2275 ARLINGTON DR, SAN LEANDRO, CA 94578-1132
(510) 317-1444
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015
—
CA
Enumeration date
08/16/2019
Last updated
08/16/2019
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