person
Brenda Adele Tafolla
Methadone Clinic in Santa Rosa, California
NPI 1487275327

Brenda Adele Tafolla is a Methadone Clinic based in Santa Rosa, CA and is specialized in Methadone. Brenda Adele Tafolla practices in Santa Rosa, CA. The NPI Number for Brenda Adele Tafolla is 1487275327 and holds a License No. 49-02 (California).

The current practice location address for Brenda Adele Tafolla is 625 Steele Ln, Santa Rosa, CA and can be reached out via phone at 707-576-0818 and via fax at 707-576-7845.

Location: 625 Steele Ln, Santa Rosa, CA, 95403-3127
person
Provider Profile Details
NPI Number
1487275327
Provider Name
Brenda Adele Tafolla
Credential
Provider Entity Type
Individual
Gender
Female
Address
625 Steele Ln, Santa Rosa, CA, 95403-3127
Phone Number
707-576-0818
Fax Number
707-576-7845
Provider Enumeration Date
05/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
625 Steele Ln
City
State
Zip
95403-3127
Phone Number
707-576-0818
Fax Number
707-576-7845
person
Provider Business Mailing Address Details
Address
625 Steele Ln
City
State
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
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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