Organization
R HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REESE CLARK (CLINICAL DIRECTOR)
(707) 322-1903
Entity
Organization
Contact information
Practice address
540 MIDDLE RINCON RD, SANTA ROSA, CA 95409-3107
(707) 322-1903
Mailing address
PO BOX 2587, SANTA ROSA, CA 95405-0587
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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