Substance Use Disorders Treatment

LBN: County Of Mendocino
Substance Use Disorders Treatment is an health care organization with primary practice located at 790 S Franklin St , Fort Bragg CA 95437-5456. The organization recently has 4 registered licenses in different health care specialties including Agencies / Public Health or Welfare, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Public Health, Federal, Ambulatory Health Care Facilities / Public Health, State or Local. Agencies / Community/Behavioral Health is the primary health care specialty. County Of Mendocino can be contacted via phone (707) 961-2522, or through Miller, Jenine via phone (707) 472-2637.

Contact Information

Primary practice address
790 S Franklin St Fort Bragg CA 95437-5456
Fax:
Website:
Authorized official contact:
Name: Miller, Jenine PSY.D.

Profile Details

NPI number 1528104387
LBN Legal business name County Of Mendocino
DBA Doing business as Substance Use Disorders Treatment
Authorized official Miller, Jenine PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2007
Last updated Jul 1st, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528104387 NPPES
California Other 2306 DRUG MEDI-CAL

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