Orr Creek Day Treatment Program

LBN: Couty Of Mendocino
Orr Creek Day Treatment Program is an health care organization with primary practice located at 1011 Low Gap Road , Ukiah CA 95482. The organization recently has 4 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Managed Care Organizations / Exclusive Provider Organization. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Couty Of Mendocino can be contacted via phone (707) 463-6878, or through Pinizotto, Tom via phone (707) 472-2300.

Contact Information

Primary practice address
1011 Low Gap Road Ukiah CA 95482
Phone: (707) 463-6878
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pinizotto, Tom MSW
Phone: (707) 472-2300

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Managed Care Organizations / Exclusive Provider Organization 302F00000X

Profile Details

NPI number 1770705139
LBN Legal business name Couty Of Mendocino
DBA Doing business as Orr Creek Day Treatment Program
Authorized official Pinizotto, Tom MSW
Entity Organization
Organization subpart 1 Yes
Enumeration date May 3rd, 2007
Last updated Feb 3rd, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770705139 NPPES
California MEDICAID 00023
California MEDICAID 2390

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