Organization
R HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIMI G DONOHUE (EXECUTIVE DIRECTOR)
(707) 571-2215
Entity
Organization
Contact information
Practice address
183 PYTHIAN RD, SANTA ROSA, CA 95409-6518
(707) 571-2215
(707) 526-9672
Mailing address
PO BOX 2587, SANTA ROSA, CA 95405-0587
(707) 571-2215
(707) 526-9672
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
496801971
CA
Other
Enumeration date
05/22/2007
Last updated
05/27/2011
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