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Find providers by NPI
Organization

COUNTY OF MENDOCINO

Active
Parent organization
COUNTY OF MENDOCINO
Other names
AODP
Organization subpart
Yes

Provider details

NPI number
Legal business name
COUNTY OF MENDOCINO
Authorized official
PATRICIA GUNTLEY (PROGRAM MANAGER)
(707) 472-2607
Entity
Organization

Contact information

Practice address
2240 OLD RIVER RD, UKIAH, CA 95482-6103
(707) 472-2607
Mailing address
2240 OLD RIVER RD, UKIAH, CA 95482-6103

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
261QC1500X
Community Health Clinic/Center
261QM2800X
Methadone Clinic
261QP0904X
Federal Public Health Clinic/Center
261QP0905X
State or Local Public Health Clinic/Center
Primary
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center

Other

Enumeration date
05/13/2009
Last updated
05/13/2009
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