Organization
REDWOOD PSYCHOLOGY CENTER, INC.
Active
Other names
Russian River Counselors
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO MADRID PHD (EXECUTIVE DIRECTOR)
(707) 865-1200
Entity
Organization
Contact information
Practice address
19375 HWY 116, MONTE RIO, CA 95462
(707) 865-1200
Mailing address
PO BOX 519, MONTE RIO, CA 95462-0519
(707) 865-1200
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
110000330
CA
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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