Organization
COUNTY OF SONOMA
Active
Parent organization
COUNTY OF SONOMA
Other names
Valley Of The Moon Children's Home
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
112 CHILDRENS CIR, SANTA ROSA, CA 95409-6558
(707) 565-4850
Mailing address
PO BOX 1539, SANTA ROSA, CA 95402-1539
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
—
49B9
PROVIDER NUMBER
CA
Enumeration date
05/10/2007
Last updated
05/23/2023
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