Organization
LOMI PSYCHOTHERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS POPE (CLINICAL DIRECTOR)
(707) 579-0465
Entity
Organization
Contact information
Practice address
534 B ST, SANTA ROSA, CA 95401-5211
(707) 579-0465
Mailing address
534 B ST, SANTA ROSA, CA 95401-5211
(707) 579-0465
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
IMF6431
CA
261QM0850X
Adult Mental Health Clinic/Center
IMF64321
CA
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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