DEPARTMENT OF HEALTH SERVICES NPI 1447396403

NPI Information

  • NPI: 1447396403
  • Provider Name: DEPARTMENT OF HEALTH SERVICES
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Other Name: CONDITIONAL RELEASE PROGRAM
  • Address: 3322 CHANATE RD
    SANTA ROSA, CA
    ZIP 95404
  • Phone: (707) 565-4909

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NPI Details

DEPARTMENT OF HEALTH SERVICES is an adult mental health clinic center in Santa Rosa, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. DEPARTMENT OF HEALTH SERVICES NPI is 1447396403. The provider is registered as an organization entity type.
The provider Other Name Is Conditional Release Program.

The provider's business location address is:

3322 CHANATE RD
SANTA ROSA, CA
ZIP 95404-708
Phone: (707) 565-4909

The provider's authorized official is Diana L. Stornetta .
The authorized official title is Accountant Iii Compliance and has the following contact phone number (707) 565-4782.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 4/22/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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