| |
236 Georgia St Ste 202 Vallejo CA 94590-5991 | |
(707) 425-5744 | |
(707) 425-5162 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 236 Georgia St, Vallejo, 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 |
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801 Empire St Fairfield CA 94533-5702 Ph: (707) 425-5744 | 236 Georgia St Ste 202 Vallejo CA 94590-5991 Ph: (707) 425-5744 |
NPI Number | 1750839015 |
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Provider Enumeration Date | 09/15/2016 |
Last Update Date | 09/15/2016 |
Identifier | Type | State | Issuer |
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1750839015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | MFC32744 (California) | Primary |
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