Organization
R HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIMI G. DONOHUE (EXECUTIVE DIRECTOR)
(707) 571-2215
Entity
Organization
Contact information
Practice address
1207 CLEVELAND AVE, SANTA ROSA, CA 95401-4729
(707) 568-4492
(707) 526-9672
Mailing address
PO BOX 2587, SANTA ROSA, CA 95405-0587
(707) 571-2215
(707) 526-9672
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
4931
CA
Other
Enumeration date
06/13/2007
Last updated
05/27/2011
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