Provider Demographics
NPI:1265102263
Name:HANNA BOYS CENTER
Entity type:Organization
Organization Name:HANNA BOYS CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NOELI
Authorized Official - Middle Name:
Authorized Official - Last Name:CARDENAS ZAMORA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:707-996-6767
Mailing Address - Street 1:17000 ARNOLD DR
Mailing Address - Street 2:
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476-3242
Mailing Address - Country:US
Mailing Address - Phone:707-996-6767
Mailing Address - Fax:707-996-4795
Practice Address - Street 1:17000 ARNOLD DR
Practice Address - Street 2:
Practice Address - City:SONOMA
Practice Address - State:CA
Practice Address - Zip Code:95476-3242
Practice Address - Country:US
Practice Address - Phone:707-996-6767
Practice Address - Fax:707-996-4795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-20
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No174200000XOther Service ProvidersMealsGroup - Multi-Specialty
No177F00000XOther Service ProvidersLodging
No251300000XAgenciesLocal Education Agency (LEA)
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
No282J00000XHospitalsReligious Nonmedical Health Care Institution
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child