Organization
TLC CHILD & FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA MONDRAGON (ACCOUNT MANAGER)
(707) 634-9037
Entity
Organization
Contact information
Practice address
1800 GRAVENSTEIN HWY N BLDG EF, SEBASTOPOL, CA 95472-2607
(707) 634-9050
Mailing address
1800 GRAVENSTEIN HWY N., SEBASTOPOL, CA 95472-2607
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
06/01/2022
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