Organization
DEPARTMENT OF HEALTH SERVICES
Active
Other names
Chanate Child Opt Resource
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA STORNETTA (ACCOUNTANT III COMPLIANCE)
(707) 565-4782
Entity
Organization
Contact information
Practice address
3333 CHANATE RD, #49269R, SANTA ROSA, CA 95404-1707
(707) 565-4810
Mailing address
3333 CHANATE RD, #49269R, SANTA ROSA, CA 95404-1707
(707) 565-4810
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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