Behavioral Health & Recovery Services - Mental Health

LBN: Mendocino County
Behavioral Health & Recovery Services - Mental Health is an health care organization with primary practice located at 474 E Valley St , Willits CA 95490-3606. The organization recently has 5 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Managed Care Organizations / Exclusive Provider Organization. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Mendocino County can be contacted via phone (707) 472-2300, or through Miller, Jenine via phone (707) 472-2300.

Contact Information

Primary practice address
474 E Valley St Willits CA 95490-3606
Phone: (707) 472-2300
Fax: (707) 472-2331
Website:
Map and Directions
Authorized official contact:
Name: Miller, Jenine PSY.D.
Phone: (707) 472-2300

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Managed Care Organizations / Exclusive Provider Organization 302F00000X

Profile Details

NPI number 1629107735
LBN Legal business name Mendocino County
DBA Doing business as Behavioral Health & Recovery Services - Mental Health
Authorized official Miller, Jenine PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2007
Last updated Jan 17th, 2024 - about 10 months 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 1629107735 NPPES
California MEDICAID 2367
California MEDICAID 00023
California Other BBB33295B

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