Lifeworks Of Sonoma County in Santa Rosa - Community/behavioral Health
Lifeworks Of Sonoma County - NPI 1619188166
Lifeworks Of Sonoma County is a Community/behavioral Health in Santa Rosa, California. Lifeworks Of Sonoma County practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Lifeworks Of Sonoma County is 1619188166. The last update date is 2010-08-12.
Lifeworks Of Sonoma County's current location address is 1200 College Avenue, Santa Rosa, California. You can contact this provider via phone number 7075682300 and fax number 7075682304. The mailing address for Lifeworks Of Sonoma County is 1200 College Avenue, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifeworks Of Sonoma County |
|---|---|
| Address | 1200 College Avenue, Santa Rosa, California |
| Phone Number | 7075682300 |
| Fax Number | 7075682304 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECTIVE D |
|---|---|
| Authorized Official Name | Royce W. Jill |
| Telephone Number | 7075682300 |
NPI Number Detail
| NPI Number | 1619188166 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2010-08-12 |
Provider Mailing Address Detail
| Address | 1200 College Avenue |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954043908 |
| Phone Number | 7075682300 |
| Fax Number | 7075682304 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique 10-digit identifier code assigned to Lifeworks Of Sonoma County by the Centers for Medicare & Medicaid Services?
The Lifeworks Of Sonoma County has been issued the NPI (National Provider Identifier) 1619188166 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Lifeworks Of Sonoma County is located?
The Lifeworks Of Sonoma County is situated at the following address: 1200 College Avenue, Santa Rosa, CA, 954043908.
What is the Lifeworks Of Sonoma County's specialty and taxonomy code?
The Lifeworks Of Sonoma County's specialty is Community/behavioral Health, and the corresponding taxonomy code is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619188166 to Lifeworks Of Sonoma County?
The Centers for Medicare & Medicaid Services originally issued the 1619188166 to Lifeworks Of Sonoma County on 2007-05-25.
As of what date were the Lifeworks Of Sonoma County's details last updated?
The information pertaining to the Lifeworks Of Sonoma County, including its address, specialty, and other details, was most recently updated on 2010-08-12.