Organization
DEPARTMENT OF HEALTH SERVICE
Active
Other names
3400 Regional Team
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA STORNETTA (COMPLIANCE AUDITOR ACCOUNTANT III)
(707) 565-4782
Entity
Organization
Contact information
Practice address
3400 CHANATE RD, SANTA ROSA, CA 95404-1710
(707) 565-4950
Mailing address
3400 CHANATE RD, SANTA ROSA, CA 95404-1710
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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