| Momentum Behavior Services, Llc | |
|
108 Valley Avenue Tomales CA 94971-9497 | |
| (217) 246-7688 | |
| Not Available |
| Full Name | Momentum Behavior Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 108 Valley Avenue, Tomales, California |
| Authorized Official Name and Position | Hannah Franz-mesick (OWNER/CEO) |
| Authorized Official Contact | 7078069921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Momentum Behavior Services, Llc Po Box 271 Tomales CA 94971-0271 Ph: (121) 724-6768 | Momentum Behavior Services, Llc 108 Valley Avenue Tomales CA 94971-9497 Ph: (217) 246-7688 |
| NPI Number | 1356825541 |
|---|---|
| Provider Enumeration Date | 09/24/2018 |
| Last Update Date | 02/29/2024 |
| Certification Date | 02/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356825541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |