Organization
BROOKE BRODY LICENSED CLINICAL SOCIAL WORKER, PC
Active
Other names
DBA Pacific Pathways
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BROOKE H BRODY LCSW (OWNER)
(240) 994-4926
Entity
Organization
Contact information
Practice address
621A 2ND ST, PETALUMA, CA 94952
(707) 708-3090
Mailing address
621A 2ND ST, PETALUMA, CA 94952
(240) 994-4926
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/20/2020
Last updated
06/01/2021
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