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650 Imperial Way Suite 100 Napa CA 94559-1344 | |
| (707) 259-8794 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 650 Imperial Way, Napa, California |
| Authorized Official Name and Position | Howard K Himes (DIRECTOR) |
| Authorized Official Contact | 7072534279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2261 Elm St Fiscal - Bldg. K Napa CA 94559-3721 Ph: (707) 253-4662 | 650 Imperial Way Suite 100 Napa CA 94559-1344 Ph: (707) 259-8794 |
| NPI Number | 1285980060 |
|---|---|
| Provider Enumeration Date | 07/30/2012 |
| Last Update Date | 05/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285980060 | NPI | - | NPPES |
| 2840028 | Medicaid | CA | |
| BU669Z | Other | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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