Health & Social Services | |
2101 Courage Dr Fairfield CA 94533-6717 | |
(707) 784-2140 | |
(707) 784-2164 |
Full Name | Health & Social Services |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2101 Courage Dr, Fairfield, California |
Authorized Official Name and Position | Kay Kelso (SUPERVISOR) |
Authorized Official Contact | 7077842140 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Health & Social Services 1390 Matthew Dr Fairfield CA 94533-4161 Ph: (707) 436-2456 | Health & Social Services 2101 Courage Dr Fairfield CA 94533-6717 Ph: (707) 784-2140 |
NPI Number | 1407913064 |
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Provider Enumeration Date | 01/03/2007 |
Last Update Date | 07/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407913064 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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