Organization
COUNTY OF SONOMA
Active
Parent organization
COUNTY OF SONOMA
Other names
CMHC PETALUMA
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF SONOMA
Authorized official
RUBY ZHANG (DEPARTMENT ANALYST)
(707) 565-7846
Entity
Organization
Contact information
Practice address
5350 OLD REDWOOD HWY N, SUITE 600, PETALUMA, CA 94954-1115
(707) 565-4950
Mailing address
5350 OLD REDWOOD HWY N, SUITE 600, PETALUMA, CA 94954-1115
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49EB
PROVIDER NUMBER
CA
Enumeration date
05/10/2007
Last updated
05/23/2023
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