| Lifeworks | |
|
1370 San Miguel Road Santa Rosa CA 95403-1986 | |
| (707) 524-2774 | |
| (707) 522-3017 |
| Full Name | Lifeworks |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1370 San Miguel Road, Santa Rosa, California |
| Authorized Official Name and Position | Jill W. Royce (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7075682300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeworks 1200 College Avenue Santa Rosa CA 95404-3908 Ph: (707) 568-2300 | Lifeworks 1370 San Miguel Road Santa Rosa CA 95403-1986 Ph: (707) 524-2774 |
| NPI Number | 1144431693 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 08/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144431693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PSY 13055 (California) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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