Organization
NAPA COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARDO ARTURO BUSTOS-ROJAS CADC II (A & D COUNSELOR III)
(707) 225-1664
Entity
Organization
Contact information
Practice address
2344 OLD SONOMA RD, NAPA, CA 94559-3708
(707) 253-4063
Mailing address
1526 PEAR TREE LN, NAPA, CA 94558-6492
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
9604139
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9604139
CADC II
OR
Enumeration date
01/11/2012
Last updated
01/11/2012
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