Sonoma County Indian Health Project Inc. | |
144 Stony Point Rd Santa Rosa CA 95401-4122 | |
(707) 521-4545 | |
Not Available |
Full Name | Sonoma County Indian Health Project Inc. |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 144 Stony Point Rd, Santa Rosa, California |
Authorized Official Name and Position | Molin Molicay (CORPORATE EXECUTIVE OFFICER) |
Authorized Official Contact | 7075214545 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sonoma County Indian Health Project Inc. 144 Stony Point Rd Santa Rosa CA 95401-4122 Ph: (707) 521-4545 | Sonoma County Indian Health Project Inc. 144 Stony Point Rd Santa Rosa CA 95401-4122 Ph: (707) 521-4545 |
NPI Number | 1013298017 |
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Provider Enumeration Date | 09/02/2011 |
Last Update Date | 09/02/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013298017 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 15758 (California) | Primary |
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