Organization
REDWOOD BEHAVIORAL HEALTH A PROFESSIONAL NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA CARLA JOHNSON (OWNER)
(818) 445-5414
Entity
Organization
Contact information
Practice address
7250 REDWOOD BLVD STE 300, OFFICE 349, NOVATO, CA 94945-3269
(415) 878-3722
Mailing address
7250 REDWOOD BLVD STE 300, NOVATO, CA 94945-3269
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/19/2024
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