SANTA ROSA TREATMENT PROGRAM
Ambulatory Health at Cleveland Ave, Santa Rosa, CA

License number
California 49-02
Category
Ambulatory Health
Type
Methadone
Owner
Name: MR. LEE TILLMAN
Title: OWNER/CEO/PROGRAM DIRECTOR
Phone: (707) 576-0818
Address
Address
1901 Cleveland Ave SUITE B, Santa Rosa, CA 95401
National Provider ID: 1285631978
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SANTA ROSA TREATMENT PROGRAM at bizstanding.com

Santa Rosa Treatment Program

1901 Cleveland Ave #B, Santa Rosa, CA 95401

Industry:
Mental Health Care, Other Social Advocacy Organizations
Doing business as:
Santa Rosa Treatment Program - John P Hibbard MD
Registration:
Mar 4, 1999
Site:
srtp.net
Phone:
(707) 576-0818 (Phone)
State ID:
C2155904
Manager:
Marion Douchette (Manager)
Agent:
Lee Tillman,Santa Rosa, CA 95401 (Physical)
SIC:
8399 - Social Services, Not Elsewhere Classified
Categories:
Alcohol & Drug Abuse Information & Treatment, Emergency & Critical Care Physicians & Surgeons, Internal Medicine Physicians & Surgeons, ...
Additional:
Oxycontin Vicodin Treatment
Company size:
4

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