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Brooke Brody Licensed Clinical Social Worker, Pc
Mental Illness Community Based Residential Treatment Facility in Petaluma, California
NPI 1649882606

Brooke Brody Licensed Clinical Social Worker, Pc is a Mental Illness Community Based Residential Treatment Facility based in Petaluma, CA. Brooke Brody Licensed Clinical Social Worker, Pc practices in Petaluma, CA. The NPI Number for Brooke Brody Licensed Clinical Social Worker, Pc is 1649882606 and holds a License No. (California).

The current practice location address for Brooke Brody Licensed Clinical Social Worker, Pc is 621A 2Nd St, Petaluma, CA and can be reached out via phone at 707-708-3090.

Location: 621A 2Nd St, Petaluma, CA, 94952
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649882606
Provider Name
Brooke Brody Licensed Clinical Social Worker, Pc
Credential
Provider Entity Type
Organization
Address
621A 2Nd St, Petaluma, CA, 94952
Phone Number
707-708-3090
Fax Number
Provider Enumeration Date
08/20/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
621A 2Nd St
City
Petaluma
State
California
Zip
94952
Phone Number
707-708-3090
Fax Number
person
Provider Business Mailing Address Details
Address
621A 2Nd St
City
Petaluma
State
California
Zip
94952
Phone Number
707-708-3090
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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