BROOKE BRODY LICENSED CLINICAL SOCIAL WORKER PC NPI 1649882606

NPI Information

BROOKE BRODY LICENSED CLINICAL SOCIAL WORKER, PC is a community based residential treatment facility mental illness in Petaluma, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. BROOKE BRODY LICENSED CLINICAL SOCIAL WORKER, PC NPI is 1649882606. The provider is registered as an organization entity type.
The provider Is Doing Business As Dba Pacific Pathways.

The provider's business location address is:

621A 2ND ST
PETALUMA, CA
ZIP 94952
Phone: (707) 708-3090

The provider's authorized official is Brooke H Brody .
The authorized official title is Owner and has the following contact phone number (240) 994-4926.

The enumeration date for this NPI number is 8/20/2020 and was last updated on 6/1/2021.

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:

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