Provider Demographics
NPI:1528604519
Name:MENTAL HEALTH AMERICA OF NORTHERN CALIFORNIA
Entity Type:Organization
Organization Name:MENTAL HEALTH AMERICA OF NORTHERN CALIFORNIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DIRECTOR/ GENERAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:DAWNIELL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAVALA
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:916-366-4600
Mailing Address - Street 1:720 HOWE AVE.
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825
Mailing Address - Country:US
Mailing Address - Phone:916-855-5427
Mailing Address - Fax:916-855-5448
Practice Address - Street 1:720 HOWE AVE.
Practice Address - Street 2:SUITE 102
Practice Address - City:CACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825
Practice Address - Country:US
Practice Address - Phone:916-855-5427
Practice Address - Fax:916-855-5448
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MENTAL HEALTH AMERICA OF NORTHERN CALIFORNIA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-25
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health