Organization
DEPARTMENT OF HEALTH
Active
Parent organization
COUNTY OF SONOMA
Other names
1370 In Custody Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF SONOMA
Authorized official
DIANA STORNETTA (SUPERVISING ACCOUNTANT)
(707) 565-4833
Entity
Organization
Contact information
Practice address
2777 VENTURA AVE, SANTA ROSA, CA 95403-2226
(707) 565-1492
Mailing address
2777 VENTURA AVE, SANTA ROSA, CA 95403-2226
(707) 565-1492
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/11/2014
Last updated
01/16/2015
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