Full Heart Treatment Center

LBN: William J. Formaker, Mft
Full Heart Treatment Center is an health care organization with primary practice located at 606 Beaver St , Santa Rosa CA 95404-4228. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as the primary health care specialty. William J. Formaker, Mft can be contacted via phone (707) 544-5717, or through Formaker, William J via phone (707) 544-5717.

Contact Information

Primary practice address
606 Beaver St Santa Rosa CA 95404-4228
Phone: (707) 544-5717
Fax: (707) 887-8288
Website:
Map and Directions
Authorized official contact:
Name: Formaker, William J Marriage and Family Therapist (MFT)
Phone: (707) 544-5717

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT29030 California

Profile Details

NPI number 1841605961
LBN Legal business name William J. Formaker, Mft
DBA Doing business as Full Heart Treatment Center
Authorized official Formaker, William J Marriage and Family Therapist (MFT)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2014
Last updated Jun 26th, 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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