Organization
WOMEN'S RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYLE JEAN STANLEY B.A. (EXECUTIVE DIRECTOR)
(707) 527-0412
Entity
Organization
Contact information
Practice address
98 HENDLEY ST, SANTA ROSA, CA 95404-5025
(707) 527-0412
(707) 527-6048
Mailing address
98 HENDLEY ST, SANTA ROSA, CA 95404-5025
(707) 527-0412
(707) 527-6048
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
490004EN
CA
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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