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