| Children's Nurturing Project | |
|
2195 Union Ave Fairfield CA 94533-3240 | |
| (707) 422-0464 | |
| (707) 422-0465 |
| Full Name | Children's Nurturing Project |
|---|---|
| Speciality | Voluntary Or Charitable |
| Location | 2195 Union Ave, Fairfield, California |
| Authorized Official Name and Position | Deborah L Davis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7074220464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Nurturing Project Po Box 304 Fairfield CA 94533-0030 Ph: (707) 422-0464 | Children's Nurturing Project 2195 Union Ave Fairfield CA 94533-3240 Ph: (707) 422-0464 |
| NPI Number | 1619034428 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 03/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619034428 | NPI | - | NPPES |
| 48BI1 | Other | CA | DMH EPSDT PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Secondary |
| 251V00000X | Voluntary Or Charitable | (* (Not Available)) | Primary |
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