Santa Rosa Treatment Program, Inc.
NPI #1285631978 in Santa Rosa, California
Provider Information
- NPI Number
- 1285631978
- Entity Type
- Organization
- Organization Name
- Santa Rosa Treatment Program, Inc.
- Primary Specialty
- Clinic/Center - Methadone
- Enumeration Date
- Jul 7, 2005
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 625 STEELE LANE
- City
- Santa Rosa
- State
- California
- ZIP Code
- 95403-3127
- Phone
- (707) 576-0818
Authorized Official
- Name
- MR. LEE ROY TILLMAN
- Title
- PROGRAM DIRECTOR/CEO
- Phone
- (707) 576-0818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Methadone — Methadone |
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