| Brandgov | |
|
425 Virginia St Ste B Vallejo CA 94590-6017 | |
| (707) 332-7825 | |
| Not Available |
| Full Name | Brandgov |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 425 Virginia St Ste B, Vallejo, California |
| Authorized Official Name and Position | Kesha Patrice Williams (CEO) |
| Authorized Official Contact | 7073327825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandgov 4825 Fernwood Ct Fairfield CA 94534-6856 Ph: (707) 332-7825 | Brandgov 425 Virginia St Ste B Vallejo CA 94590-6017 Ph: (707) 332-7825 |
| NPI Number | 1164287959 |
|---|---|
| Provider Enumeration Date | 02/20/2024 |
| Last Update Date | 02/20/2024 |
| Certification Date | 02/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164287959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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