County of Mendocino

NPI #1780818179 in Ukiah, California

Provider Information

NPI Number: 1780818179
Entity Type: Organization
Organization Name: County of Mendocino
Subpart: Yes (part of a larger organization)
Parent Organization: COUNTY OF MENDOCINO
Primary Specialty: Clinic/Center - Public Health, State or Local
Enumeration Date: May 13, 2009
Last Updated: May 13, 2009

Practice Location

Address: 2240 OLD RIVER RD
City: Ukiah
State: California
ZIP Code: 95482-6103
Phone: (707) 472-2607

Authorized Official

Name: PATRICIA GUNTLEY
Title: PROGRAM MANAGER
Phone: (707) 472-2607

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Clinic/Center - Community Health — Community Health	261QC1500X
Clinic/Center - Methadone — Methadone	261QM2800X
Clinic/Center - Public Health, Federal — Public Health, Federal	261QP0904X
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Clinic/Center - Public Health, State or Local — Public Health, State or Local	261QP0905X	Primary

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