| Organization Name: | SONOMA COUNTY INDIAN HEALTH PROJECT INC. |
| NPI Number: | 1013298017 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MOLIN MOLICAY (CORPORATE EXECUTIVE OFFICER) |
| Mailing Address: | 144 Stony Point Rd Santa Rosa |
| State: | CA US |
| Postal Code: | 954014122 |
| Phone Number: | 7075214545 |
| Fax Number: | |
| NPI Enumeration Date: | 09/02/2011 |
| NPI Last Update Date: | 09/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 15758 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |