Provider Demographics
NPI:1538406897
Name:UNITED CEREBRAL PALSY OF THE NORTH BAY
Entity type:Organization
Organization Name:UNITED CEREBRAL PALSY OF THE NORTH BAY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARGOUARCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-766-9990
Mailing Address - Street 1:3835 CYPRESS DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94954-6965
Mailing Address - Country:US
Mailing Address - Phone:707-766-9990
Mailing Address - Fax:707-559-2466
Practice Address - Street 1:3835 CYPRESS DR
Practice Address - Street 2:SUITE 103
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94954-6965
Practice Address - Country:US
Practice Address - Phone:707-766-9990
Practice Address - Fax:707-559-2466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-04-1641251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services