1370 Outpatient Program

LBN: Department Of Health
1370 Outpatient Program is an health care organization with primary practice located at 2350 Professional Dr , Santa Rosa CA 95403-3018. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Department Of Health can be contacted via phone (707) 565-4963, or through Stornetta, Diana via phone (707) 565-4833.

Contact Information

Primary practice address
2350 Professional Dr Santa Rosa CA 95403-3018
Phone: (707) 565-4963
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stornetta, Diana
Phone: (707) 565-4833

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1790183432
LBN Legal business name Department Of Health
DBA Doing business as 1370 Outpatient Program
Authorized official Stornetta, Diana
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 11th, 2014
Last updated Jan 16th, 2015 - about 9 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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