Organization
CILPSI SPECIAL SERVICES
Active
Other names
lifeworks
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL K TONJUM PH.D. (DIRECTOR)
(707) 568-2300
Entity
Organization
Contact information
Practice address
1700 FULTON RD, SANTA ROSA, CA 95403-1815
(707) 568-2300
(707) 568-2304
Mailing address
1200 COLLEGE AVE, SANTA ROSA, CA 95404-3908
(707) 568-2300
(707) 568-2304
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY13055
CA
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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