Manzanita Services INC.
Community/Behavioral Health in Ukiah, CA. Organization (NPI-2).
NPI number1831523091
StatusActive
Last updated in NPPESMar 8, 2016
Details
- NPI
- 1831523091
- Entity type
- Organization (NPI-2)
- Legal business name
- Manzanita Services INC.
- Organization subpart
- No
- Enumeration date
- Aug 23, 2013
- Last updated
- Mar 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
410 Jones St Ste C1Ukiah, CA 95482-5491
Phone 707-463-0405 · Fax 707-313-4999
Mailing address
Po Box 1424Ukiah, CA 95482-1424
Phone 707-463-0405
Authorized official
Susan Wynd Novotny
Executive Director
7079729040
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All 22 Community/Behavioral Health Agency providers in Ukiah · All 1,707 providers in Ukiah
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