Organization
MANZANITA SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN WYND NOVOTNY BA MHRS (EXECUTIVE DIRECTOR)
(707) 972-9040
Entity
Organization
Contact information
Practice address
410 JONES ST STE C1, UKIAH, CA 95482-5491
(707) 463-0405
(707) 313-4999
Mailing address
PO BOX 1424, UKIAH, CA 95482-1424
(707) 463-0405
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/23/2013
Last updated
03/08/2016
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