Organization
COUNTY OF SONOMA-DEPARTMENT OF HEALTH
Active
Parent organization
COUNTY OF SONOMA- DEPARTMENT OF HEALTH
Other names
DMH Psychiatric Emergency Service
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF SONOMA- DEPARTMENT OF HEALTH
Authorized official
DIANA STORNETTA (COMPLIANCE AUDITOR ACCOUNTANT III)
(707) 565-4782
Entity
Organization
Contact information
Practice address
3322 CHANATE RD, SANTA ROSA, CA 95404-1708
(707) 576-8181
Mailing address
3322 CHANATE RD, SANTA ROSA, CA 95404-1708
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4925
STATE PROVIDER NUMBER
CA
Enumeration date
05/10/2007
Last updated
08/14/2008
Update your record
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