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Missing Elements
Mental Health Clinic/Center (Including Community Mental Health Center) in Santa Rosa, California
NPI 1487908620

Missing Elements is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Santa Rosa, CA and is specialized in Mental Health (Including Community Mental Health Center). Missing Elements practices in Santa Rosa, CA. The NPI Number for Missing Elements is 1487908620 and holds a License No. (California).

The current practice location address for Missing Elements is 1717 Yulupa Ave Ste 5, Santa Rosa, CA and can be reached out via phone at 707-560-1051 and via fax at 866-803-4979.

Location: 1717 Yulupa Ave Ste 5, Santa Rosa, CA, 95402-0882
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487908620
Provider Name
Missing Elements
Credential
Provider Entity Type
Organization
Address
1717 Yulupa Ave Ste 5, Santa Rosa, CA, 95402-0882
Phone Number
707-560-1051
Fax Number
866-803-4979
Provider Enumeration Date
11/08/2012
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
1717 Yulupa Ave Ste 5
City
Santa Rosa
State
California
Zip
95405-6201
Phone Number
707-560-1051
Fax Number
866-803-4979
person
Provider Business Mailing Address Details
Address
1717 Yulupa Ave Ste 5
City
Santa Rosa
State
California
Zip
95405-6201
Phone Number
707-560-1051
Fax Number
866-803-4979
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
IMF55305 (California)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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