Organization
LIFEWORKS OF SONOMA COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE FOUNTAIN (EXECUTIVE DIRECTOR)
(707) 568-2300
Entity
Organization
Contact information
Practice address
1260 N DUTTON AVE, STE 105 & STE 244, SANTA ROSA, CA 95401
(707) 568-2300
(707) 568-2304
Mailing address
1260 N DUTTON AVE, STE 105 & STE 244, SANTA ROSA, CA 95401-7121
(707) 568-2300
(707) 568-2304
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/12/2010
Last updated
09/17/2019
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