<Unavail>

LBN: Mendocino County Youth Project
<Unavail> is an health care organization with primary practice located at 376 E Gobbi St Ste B , Ukiah CA 95482-5511. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Mendocino County Youth Project can be contacted via phone (707) 463-4915, or through Ambrois, Mimine via phone (707) 463-4915.

Contact Information

Primary practice address
376 E Gobbi St Ste B Ukiah CA 95482-5511
Phone: (707) 463-4915
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ambrois, Mimine Licensed Clinical Social Worker (LCSW)
Phone: (707) 463-4915

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1992233159
LBN Legal business name Mendocino County Youth Project
DBA Doing business as <Unavail>
Authorized official Ambrois, Mimine Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2017
Last updated Jun 16th, 2017 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992233159 NPPES
California MEDICAID 94-2882841

Popular Providers