Scotts Valley Treatment Center INC
Substance Abuse Rehabilitation Facility in Santa Rosa, CA. Organization (NPI-2).
NPI number1255078747
StatusActive
Last updated in NPPESDec 4, 2025
Details
- NPI
- 1255078747
- Entity type
- Organization (NPI-2)
- Legal business name
- Scotts Valley Treatment Center INC
- Organization subpart
- No
- Enumeration date
- May 16, 2022
- Certification date
- Dec 4, 2025
- Last updated
- Dec 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Practice location
3250 Guerneville RdSanta Rosa, CA 95401-4030
Phone 707-579-4066 · Fax 707-284-1236
Mailing address
Po Box 4869Santa Rosa, CA 95402-4869
Phone 707-284-1235 · Fax 707-284-1236
Authorized official
Thomas J Jordan
Ceo
7073498545
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