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Santa Rosa Treatment Program, Inc.
Methadone Clinic in Santa Rosa, California
NPI 1285631978

Santa Rosa Treatment Program, Inc. is a Methadone Clinic based in Santa Rosa, CA and is specialized in Methadone. Santa Rosa Treatment Program, Inc. practices in Santa Rosa, CA. The NPI Number for Santa Rosa Treatment Program, Inc. is 1285631978 and holds a License No. 49-02 (California).

The current practice location address for Santa Rosa Treatment Program, Inc. is 625 Steele Lane, Santa Rosa, CA and can be reached out via phone at 707-576-0818 and via fax at 707-576-7845.

Location: 625 Steele Lane, Santa Rosa, CA, 95403-3127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285631978
Provider Name
Santa Rosa Treatment Program, Inc.
Credential
Provider Entity Type
Organization
Address
625 Steele Lane, Santa Rosa, CA, 95403-3127
Phone Number
707-576-0818
Fax Number
707-576-7845
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3631909 01 CA EDD STATE PROVIDER
CA-10228-M 01 CSAT (SAMHSA)
49-02 01 CA DHCS NTP
49AC 05 CA
institution
Provider Business Practice Location Address Details
Address
625 Steele Lane
City
Santa Rosa
State
California
Zip
95403-3127
Phone Number
707-576-0818
Fax Number
707-576-7845
person
Provider Business Mailing Address Details
Address
625 Steele Lane
City
Santa Rosa
State
California
Zip
95403-3127
Phone Number
707-576-0818
Fax Number
707-576-7845
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
49-02 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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