Organization
INDIVIDUAL'S NOW, INC
Active
Other names
Social Advocates for Youth - Tamayo Village
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY LYNN IRIKS MFT #82225 (MANAGER)
(707) 544-3299
Entity
Organization
Contact information
Practice address
1700 YULUPA AVE, SANTA ROSA, CA 95405-7721
(707) 544-3299
(707) 544-6837
Mailing address
1700 YULUPA AVE, SANTA ROSA, CA 95405-7721
(707) 544-3299
(707) 544-6837
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/27/2007
Last updated
06/09/2015
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