DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CAMPOBELLO CHEMICAL DEPENDENCY RECOVERY CENTER

MEDICARE: CAMPOBELLO CHEMICAL DEPENDENCY RECOVERY CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility490002APCA

General Provider Information

NPI Number : 1144343138
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAMPOBELLO CHEMICAL DEPENDENCY RECOVERY CENTER
Provider Business Mailing Address
First Line : PO BOX 4869
Second Line :
City : SANTA ROSA
State : CA
Zip : 95402-4869
Country : US
Telephone Number : 707-284-1235
Fax Number : 707-284-1236
Provider Business Practice Location Address
First Line : 3250 GUERNEVILLE RD
Second Line :
City : SANTA ROSA
State : CA
Zip : 95401-4030
Country : US
Telephone Number : 707-579-4066
Fax Number : 707-579-1603
Authorized Official
Title or Position : OWNER CEO
Name : WILLIAM L TWITCHELL
Credential : CPA
Telephone Number : 707-284-1235
Provider Enumeration Date : 04/06/2007
Last Update Date : 02/17/2011

Similar Medicare Providers

1235091794 — CHRISTINA SEMESKI
Practice Location Address:
3250 GUERNEVILLE RD
SANTA ROSA, CA
95401-4030
Practice Phone: 707-579-4066
Practice Fax:
1649132119 — AIDAN SHEA
Practice Location Address:
3250 GUERNEVILLE RD
SANTA ROSA, CA
95401-4030
Practice Phone: 707-579-4066
Practice Fax:
1780546218 — MICHELLE GUILLORY
Practice Location Address:
3250 GUERNEVILLE RD
SANTA ROSA, CA
95401-4030
Practice Phone: 707-579-4066
Practice Fax:
1528921046 — FRED HOFF
Practice Location Address:
3250 GUERNEVILLE RD
SANTA ROSA, CA
95401-4030
Practice Phone: 707-579-4066
Practice Fax:
1255078747 — SCOTTS VALLEY TREATMENT CENTER INC
Practice Location Address:
3250 GUERNEVILLE RD
SANTA ROSA, CA
95401-4030
Practice Phone: 707-579-4066
Practice Fax: 707-284-1236
1760551204 — DR. LAURIE HERR PSYD
Practice Location Address:
132 LELAND ST , SUITE 5
SANTA ROSA, CA
95404-4030
Practice Phone: 707-477-7658
Practice Fax:

Directions to “CAMPOBELLO CHEMICAL DEPENDENCY RECOVERY CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.