Solano Family Support Program | |
480 Chadbourne Rd Ste 101 Fairfield CA 94534-9641 | |
(707) 429-4440 | |
Not Available |
Full Name | Solano Family Support Program |
---|---|
Speciality | Community/behavioral Health |
Location | 480 Chadbourne Rd Ste 101, Fairfield, California |
Authorized Official Name and Position | Scott Osborn (CHIEF OPERATING OFFICER) |
Authorized Official Contact | 5105200943 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Solano Family Support Program 8945 Golf Links Rd Oakland CA 94605-4124 Ph: (510) 317-1444 | Solano Family Support Program 480 Chadbourne Rd Ste 101 Fairfield CA 94534-9641 Ph: (707) 429-4440 |
NPI Number | 1164640702 |
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Provider Enumeration Date | 04/20/2007 |
Last Update Date | 10/23/2023 |
Certification Date | 10/23/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164640702 | NPI | - | NPPES |
0015 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (California) | Primary |
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