Organization
COUNTY OF SONOMA
Active
Other names
Headwaters Medical Therapy Unit
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY ZHANG (DEPARTMENT ANALYST)
(707) 565-7846
Entity
Organization
Contact information
Practice address
1355 INDUSTRIAL AVE, PETALUMA, CA 94952-6500
(707) 565-8188
(707) 565-8190
Mailing address
1355 INDUSTRIAL AVE, PETALUMA, CA 94952-6500
(707) 565-8188
(707) 565-8190
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2017
Last updated
05/23/2023
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