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County Of Sonoma
Adolescent and Children Mental Health Clinic/Center in Santa Rosa, California
NPI 1629124037

County Of Sonoma is an Adolescent and Children Mental Health Clinic/Center based in Santa Rosa, CA and is specialized in Adolescent and Children Mental Health. County Of Sonoma practices in Santa Rosa, CA. The NPI Number for County Of Sonoma is 1629124037 and holds a License No. (California).

The current practice location address for County Of Sonoma is 2235 Challenger Way Ste 107-108, Santa Rosa, CA and can be reached out via phone at 707-565-4917.

Location: 2235 Challenger Way Ste 107-108, Santa Rosa, CA, 95407-5421
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629124037
Provider Name
County Of Sonoma
Credential
Provider Entity Type
Organization
Address
2235 Challenger Way Ste 107-108, Santa Rosa, CA, 95407-5421
Phone Number
707-565-4917
Fax Number
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
49C1 01 CA PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
2235 Challenger Way Ste 107-108
City
Santa Rosa
State
California
Zip
95407-5458
Phone Number
707-565-4917
Fax Number
person
Provider Business Mailing Address Details
Address
2235 Challenger Way Ste 107-108
City
Santa Rosa
State
California
Zip
95407-5458
Phone Number
707-565-4917
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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