Organization
MANZANITA SERVICES, INC.
Active
Parent organization
MANZANITA SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MANZANITA SERVICES, INC.
Authorized official
SUSAN WYND NOVOTNY (EXECUTIVE DIRECTOR)
(707) 463-0405
Entity
Organization
Contact information
Practice address
286 SCHOOL ST, WILLITS, CA 95490-3435
(707) 463-0405
Mailing address
PO BOX 1424, UKIAH, CA 95482-1424
(707) 972-9040
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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