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COUNTY OF MENDOCINO NPI 1649468968


NPI Information

NPI: 1649468968
Provider Name: COUNTY OF MENDOCINO

Other Name: SUBSTANCE USE DISORDERS TREATMENT - NEW BEGINNINGS

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
518 LOW GAP RD
UKIAH, CA
ZIP 95482
Phone: (707) 472-2637
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COUNTY OF MENDOCINO is a community behavioral health in Ukiah, CA. The provider is 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. COUNTY OF MENDOCINO NPI is 1649468968. The provider is registered as an organization entity type.
The provider Other Name Is Substance Use Disorders Treatment - New Beginnings.

The provider's business location address is:

518 LOW GAP RD
UKIAH, CA
ZIP 95482-735
Phone: (707) 472-2637
Fax: (707) 472-2657

The provider's authorized official is Jenine Miller .
The authorized official title is Bhrs Deputy Director and has the following contact phone number (707) 472-2637.

The enumeration date for this NPI number is 10/11/2007 and was last updated on 7/1/2014.


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
1251K00000XPublic Health or WelfareNo
2261QP0904XClinic/CenterPublic Health, FederalNo
3261QP0905XClinic/CenterPublic Health, State or LocalNo
4251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12305MEDICAIDCALIFORNIA
22305OTHERCALIFORNIADRUG MEDI-CAL

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: 5/5/2024

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