Organization
PACIFIC FORENSIC PSYCHOLOGY ASSOCIATES, INC
Active
Other names
Elysian Health Partners
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONY ANGELO PSY.D. (PRESIDENT / PRINCIPLE)
(707) 395-4500
Entity
Organization
Contact information
Practice address
19230 SONOMA HIGHWAY, BUILDING 200, SONOMA, CA 95476
(916) 224-0212
Mailing address
19230 SONOMA HIGHWAY, BUILDING 200, SONOMA, CA 95476
(916) 224-0212
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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