| Child Haven, Inc. | |
|
801 Empire St Fairfield CA 94533-5702 | |
| (707) 425-5744 | |
| (707) 425-5162 |
| Full Name | Child Haven, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 801 Empire St, Fairfield, California |
| Authorized Official Name and Position | Jane Johnson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7074255744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Haven, Inc. 801 Empire St Fairfield CA 94533-5702 Ph: (707) 425-5744 | Child Haven, Inc. 801 Empire St Fairfield CA 94533-5702 Ph: (707) 425-5744 |
| NPI Number | 1851508378 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 11/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851508378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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