Conditional Release Program

LBN: Department Of Health Services
Conditional Release Program is an health care organization with primary practice located at 3322 Chanate Rd , Santa Rosa CA 95404-1708. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Department Of Health Services can be contacted via phone (707) 565-4909, or through Stornetta, Diana L. via phone (707) 565-4782.

Contact Information

Primary practice address
3322 Chanate Rd Santa Rosa CA 95404-1708
Phone: (707) 565-4909
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stornetta, Diana L.
Phone: (707) 565-4782

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1447396403
LBN Legal business name Department Of Health Services
DBA Doing business as Conditional Release Program
Authorized official Stornetta, Diana L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 29th, 2007
Last updated Apr 22nd, 2009 - about 15 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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