Organization
COUNTY OF MENDOCINO
Active
Parent organization
COUNTY OF MENDOCINO
Other names
AODP
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF MENDOCINO
Authorized official
PATRICIA GUNTLEY (PROGRAM MANAGER)
(707) 472-2607
Entity
Organization
Contact information
Practice address
405 OBSERVATORY AVE, UKIAH, CA 95482-5641
(707) 472-2607
Mailing address
405 OBSERVATORY AVE, UKIAH, CA 95482-5641
(707) 472-2607
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QP0904X
Federal Public Health Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
261QP2400X
Prison Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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