Information about Contract Administrators. The following names, title, addresses, and telephone numbers are the pertinent information for the respective contract administrators for the parties. Contract Administrator for MHP Contract Administrator for Contractor Name: Xxxxx Xxxxxx Address: 0000 Xx. Xxxx Xx., Ukiah, CA 95482 Phone No: 000-000-0000 Fax No: Name: St.Vincent’s School for Boys Address: 000 Xxxxxx Xxxxxx, Ste. 100, San Francisco, CA 94105 Phone No: 000-000-0000 Fax No:
Appears in 1 contract
Samples: Organizational Provider Agreement
Information about Contract Administrators. The following names, title, addresses, and telephone numbers are the pertinent information for the respective contract administrators for the parties. Contract Administrator for MHP Contract Administrator for Contractor Name: Xxxxx Xxxxxx Xxxxxx Address: 0000 Xx. Xxxxx Xxxx Xx., Ukiah, CA 95482 Phone No: (000-) 000-0000 Fax No: (000) 000-0000 Name: St.Vincent’s School for Boys Summitview Child & Family Svcs Address: 000 Xxxxxxxx Xxxxxx XxxxxxXx. Suite 304, Ste. 100, San FranciscoDiamond Springs, CA 94105 95619 Phone No: 000-000-0000 Fax No:
Appears in 1 contract
Samples: Organizational Provider Agreement
Information about Contract Administrators. The following names, title, addresses, and telephone numbers are the pertinent information for the respective contract administrators for the parties. Contract Administrator for MHP Contract Administrator for Contractor Name: Xxxxx Xxxxxx MCHHSA, BHRS, Contracts Address: 0000 Xx. Xxxxx Xxxx Xx., Xxxxxxx Ukiah, CA Ca. 95482 Phone No: 000-000-0000 Fax No: 000-000-0000 Name: St.Vincent’s School for Boys Families First, Inc. Address: 000 0000 Xxxxx Xxxxxx XxxxxxXxxxx, Ste. 100, San Francisco, CA 94105 XX 00000-0000 Phone No: 000-000-0000 Fax No:
Appears in 1 contract
Samples: Organizational Provider Agreement
Information about Contract Administrators. The following names, title, addresses, and telephone numbers are the pertinent information for the respective contract administrators for the parties. Contract Administrator for MHP Contract Administrator for Contractor Name: Xxxxx Xxxxxx Address: 0000 Xx. Xxxx Xx., Ukiah, CA 95482 Phone No: 000-000-0000 Fax No: Name: St.Vincent’s School for Boys Xxxxxx Treatment Centers, Inc. Address: 000 Xxxxxx Xxxxxx0000 Xxxxxxxxxx Xxxx Xx, Ste. 100Xxxxx, San Francisco, CA 94105 XX 00000 Phone No: 000-000-0000 Fax No:
Appears in 1 contract
Samples: Organizational Provider Agreement
Information about Contract Administrators. The following names, title, addresses, and telephone numbers are the pertinent information for the respective contract administrators for the parties. Contract Administrator for MHP Contract Administrator for Contractor Name: Xxxxx Xxxxxx Xxxxxxxxx X. Xxxxxxxxx, LMFT Address: 0000 Xx. Xxxx Xx., UkiahP.O. Box 2087 Merced, CA 95482 95344 Phone No: 000-000-0000 Fax No: Name: St.Vincent’s School for Boys Xxxx Xxxxxx Address: 000 Xxxxxx Xxxxxx, Ste. 100, San Francisco0000 Xxxx Xxxx Turlock, CA 94105 95382 Phone No: (000) 000-000-0000 Fax No:0000
Appears in 1 contract
Samples: Organizational Provider Agreement
Information about Contract Administrators. The following names, title, addresses, and telephone numbers are the pertinent information for the respective contract administrators for the parties. Contract Administrator for MHP Contract Administrator for Contractor Name: Xxxxx Xxxxxx Xxxxxx Address: 0000 Xx. Xxxxx Xxxx Xx., Ukiah, CA 95482 Xxxxxx Phone No: (000-) 000-0000 Fax No: (000) 000-0000 Name: St.Vincent’s School for Boys Xxxxx Xxxxxx, CFO Address: 000 Xxxxxx Xxxxxx0000 Xxxxxxxxxx Xxxx Xx., Ste. 100Xxxxx, San Francisco, CA 94105 XX 00000 Phone No: (000-) 000-0000 Fax No:: (000) 000-0000 Federal Tax ID #: 00-0000000
Appears in 1 contract
Samples: Organizational Provider Agreement
Information about Contract Administrators. The following names, title, addresses, and telephone numbers are the pertinent information for the respective contract administrators for the parties. Contract Administrator for MHP Contract Administrator for Contractor Name: Xxxxx Xxxxxx Xxxx, Director Address: P.O. Box 2087 Merced, CA 95344 Phone No: (000) 000-0000 Name: Xxxxxx Xxxxxx Address: 0000 Xx. 000 Xxxx Xx.Xxxxx Xxxxx Xxxxxxx, Ukiah, CA 95482 XX 00000 Phone No: (000-) 000-0000 Fax No: Name: St.Vincent’s School for Boys AddressPayments to: 000 Xxxxxx XxxxxxXxxx Xxxxx Xxxxx Xxxxxxx, Ste. 100, San Francisco, CA 94105 Phone No: 000-000-0000 Fax No:XX 00000
Appears in 1 contract
Samples: Organizational Provider Agreement
Information about Contract Administrators. The following names, title, addresses, and telephone numbers are the pertinent information for the respective contract administrators for the parties. Contract Administrator for MHP Contract Administrator for Contractor Name: Xxxxx Xxxxxx MCHHSA, BHRS, Contracts Address: 0000 Xx. Xxxxx Xxxx Xx., Ukiah, CA 95482 Phone No: 000-000-0000 Fax No: 000-000-0000 Name: St.Vincent’s School for Boys Summitview Child & Family Svcs Address: 000 Xxxxxxxx Xxxxxx XxxxxxXx. Xxxxx 000, Ste. 100Xxxxxxx Xxxxxxx, San Francisco, CA 94105 XX 00000 Phone No: 000-000-0000 Ext. 22 Fax No:
Appears in 1 contract
Samples: Organizational Provider Agreement