Organization
R HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIMI G DONOHUE RAS (EXECUTIVE DIRECTOR)
(707) 571-2215
Entity
Organization
Contact information
Practice address
540C MIDDLE RINCON ROAD, SANTA ROSA, CA 95409
(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
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
490105716
CA
Other
Enumeration date
10/29/2009
Last updated
06/03/2011
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