Brooke Brody Licensed Clinical Social Worker, PC
Brooke Brody Licensed Clinical Social Worker, PC is a Mental Illness Community Based Residential Treatment Facility in Petaluma, California. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
621A 2nd StPetaluma, CA 94952
Phone: (707) 708-3090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X |
|---|
Record details
| NPI number | 1649882606 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brooke Brody — Owner · (240) 994-4926 |
| Other names | Dba Pacific Pathways |
| NPI enumerated | August 20, 2020 |
| Last updated in NPPES | June 1, 2021 |
| Certification date | June 1, 2021 |
| Mailing address | 621a 2nd St, Petaluma, CA 94952 |
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Community Support Network
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Five Sisters Ranch, Inc
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