DEPARTMENT OF HEALTH SERVICES NPI 1538206446

NPI Information

  • NPI: 1538206446
  • Provider Name: DEPARTMENT OF HEALTH SERVICES
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Other Name: CHANATE CHILD OPT RESOURCE
  • Address: 3333 CHANATE RD
    #49269R
    SANTA ROSA, CA
    ZIP 95404
  • Phone: (707) 565-4810

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NPI Details

DEPARTMENT OF HEALTH SERVICES is an adolescent and children 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 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. DEPARTMENT OF HEALTH SERVICES NPI is 1538206446. The provider is registered as an organization entity type.
The provider Other Name Is Chanate Child Opt Resource.

The provider's business location address is:

3333 CHANATE RD
#49269R
SANTA ROSA, CA
ZIP 95404-707
Phone: (707) 565-4810

The provider's authorized official is Diana 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 1/31/2007 and was last updated on 8/22/2020.

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
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

What is NPI?

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

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