Willow Glen Care Center
NPI #1760819767 in Willits, California
Provider Information
- NPI Number
- 1760819767
- Entity Type
- Organization
- Organization Name
- Willow Glen Care Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WILLOW GLEN CARE CENTER
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Oct 4, 2013
- Last Updated
- Jul 27, 2021
Practice Location
- Address
- 414 S MAIN ST
- City
- Willits
- State
- California
- ZIP Code
- 95490-3908
- Phone
- (707) 459-6134
Authorized Official
- Name
- MR. JEFF PAYNE
- Title
- CHIEF OPERATIONS OFFICER
- Phone
- (530) 751-9904
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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