| Organization Name: | COUNTY OF MENDOCINO |
| NPI Number: | 1063558823 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICIA GUNTLY (PROGRAM DIRECTOR) |
| Mailing Address: | 221 S Lenore Ave Willits |
| State: | CA US |
| Postal Code: | 954903632 |
| Phone Number: | 7074563821 |
| Fax Number: | |
| NPI Enumeration Date: | 01/29/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |