Organization
FRIEND OF BOON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIDNEY BURGESS (PRESIDENT)
(707) 672-6153
Entity
Organization
Contact information
Practice address
527 S STATE ST, UKIAH, CA 95482-4910
(707) 672-6153
Mailing address
500 COCHRANE AVE, UKIAH, CA 95482-5621
(707) 672-6153
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/02/2024
Last updated
10/22/2024
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