Organization
MENTAL HEALTH MANAGEMENT I, INC.
Active
Other names
Canyon Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD PAUL EVATZ L.C.S.W. (EXECUTIVE DIRECTOR)
(415) 892-1628
Entity
Organization
Contact information
Practice address
655 CANYON ROAD, NOVATO, CA 94947
(415) 892-1628
(415) 892-8624
Mailing address
655 CANYON ROAD, NOVATO, CA 94947
(415) 892-1628
(415) 892-8624
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
02089023
CA
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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