| Manzanita Services Inc. | |
|
410 Jones St Ste C1 Ukiah CA 95482-5491 | |
| (707) 463-0405 | |
| (707) 313-4999 |
| Full Name | Manzanita Services Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 410 Jones St Ste C1, Ukiah, California |
| Authorized Official Name and Position | Susan Wynd Novotny (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7079729040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manzanita Services Inc. Po Box 1424 Ukiah CA 95482-1424 Ph: (707) 463-0405 | Manzanita Services Inc. 410 Jones St Ste C1 Ukiah CA 95482-5491 Ph: (707) 463-0405 |
| NPI Number | 1831523091 |
|---|---|
| Provider Enumeration Date | 08/23/2013 |
| Last Update Date | 03/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831523091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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