Organization
COUTY OF MENDOCINO
Active
Parent organization
COUTY OF MENDOCINO
Other names
Orr Creek Day Treatment Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUTY OF MENDOCINO
Authorized official
TOM PINIZOTTO MSW (DIRECTOR)
(707) 472-2300
Entity
Organization
Contact information
Practice address
1011 LOW GAP ROAD, UKIAH, CA 95482
(707) 463-6878
Mailing address
1120 S DORA ST, UKIAH, CA 95482-3919
(707) 472-2300
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
302F00000X
Exclusive Provider Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00023
—
CA
05
—
2390
—
CA
Enumeration date
05/03/2007
Last updated
02/03/2014
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