Organization
COUNTY OF SONOMA
Active
Other names
Fee For Service MFT's
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY ZHANG (DEPARTMENT ANALYST)
(707) 565-7846
Entity
Organization
Contact information
Practice address
1450 NEOTOMAS AVE STE 200, SANTA ROSA, CA 95405-7574
(707) 565-4861
Mailing address
1450 NEOTOMAS AVE STE 200, SANTA ROSA, CA 95405-7574
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4982
FFS MFT'S
—
Enumeration date
05/22/2007
Last updated
05/23/2023
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