1194853713 COUNTY OF MENDOCINO

Community/Behavioral Health Agency

Active

Basic Information

Organization Name
COUNTY OF MENDOCINO
Enumeration Date
March 2, 2007
Last Update
December 2, 2023
Authorized Official
DR. JENINE MILLER PSY.D.
DIRECTOR
Phone: (707) 472-2355

Practice Location

Address
790 S FRANKLIN ST STE B
FORT BRAGG, CA 954375456
Phone
(707) 964-4747

Mailing Address

Address
1120 S DORA ST
UKIAH, CA 95482
Phone
(707) 467-2300

Specialties & Taxonomies

Specialty Code Classification License State Primary
Case Management Agency
251B00000X Case Management N/A N/A No
Mental Health Clinic/Center (Including Community Mental Health Center)
Mental Health (Including Community Mental Health Center)
261QM0801X Clinic/Center N/A N/A No
Exclusive Provider Organization
302F00000X Exclusive Provider Organization N/A N/A No
Community/Behavioral Health Agency
251S00000X Community/Behavioral Health N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
BBB33295B 01 CA MH SUBMITTER #
00023 05 CA N/A
2311 05 CA N/A

Frequently Asked Questions

What is COUNTY OF MENDOCINO's NPI number?
COUNTY OF MENDOCINO's NPI number is 1194853713.
Which doctor has NPI number 1194853713?
The doctor with NPI number 1194853713 is COUNTY OF MENDOCINO.
What is COUNTY OF MENDOCINO's practice address?
COUNTY OF MENDOCINO's practice address is 790 S FRANKLIN ST STE B, FORT BRAGG, CA, 954375456.
Which doctor practices at 790 S FRANKLIN ST STE B, FORT BRAGG, CA, 954375456?
COUNTY OF MENDOCINO practices at 790 S FRANKLIN ST STE B, FORT BRAGG, CA, 954375456.
What is COUNTY OF MENDOCINO's mailing address?
COUNTY OF MENDOCINO's mailing address is 1120 S DORA ST, UKIAH, CA, 95482.
What is COUNTY OF MENDOCINO's phone number?
COUNTY OF MENDOCINO's phone number is (707) 964-4747.
Who is (707) 964-4747?
(707) 964-4747 is the phone number for COUNTY OF MENDOCINO.
What is COUNTY OF MENDOCINO's specialty?
COUNTY OF MENDOCINO's specialty is Community/Behavioral Health Agency.
What type of doctor is COUNTY OF MENDOCINO?
COUNTY OF MENDOCINO is a Community/Behavioral Health Agency.
Is COUNTY OF MENDOCINO a Community/Behavioral Health?
Yes, COUNTY OF MENDOCINO is a Community/Behavioral Health.
Is COUNTY OF MENDOCINO still practicing?
Yes, COUNTY OF MENDOCINO is currently practicing.
Is COUNTY OF MENDOCINO accepting new patients?
COUNTY OF MENDOCINO may be accepting new patients. Please call their office at (707) 964-4747 to inquire about availability.
Is NPI 1194853713 still active?
Yes, NPI 1194853713 is currently active.
Where does COUNTY OF MENDOCINO practice?
COUNTY OF MENDOCINO practices in FORT BRAGG, CA.