Organization
FAMILY SERVICE AGENCY OF SONOMA COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANYA WOLTMAN (EXECUTIVE DIRECTOR)
(707) 545-4551
Entity
Organization
Contact information
Practice address
751 LOMBARDI CT STE C, SANTA ROSA, CA 95407-6793
(707) 545-4551
Mailing address
751 LOMBARDI CT STE C, SANTA ROSA, CA 95407-6793
(707) 545-4551
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CMM70480F
OUTPATIENT MENTAL HEALTH
CA
Enumeration date
01/25/2007
Last updated
08/22/2020
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