| Southern Solano Alcohol Council | |
|
419 Pennsylvania St Vallejo CA 94590-6933 | |
| (707) 643-2715 | |
| Not Available |
| Full Name | Southern Solano Alcohol Council |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 419 Pennsylvania St, Vallejo, California |
| Authorized Official Name and Position | Susan Cinelli (EX. DIRECTOR) |
| Authorized Official Contact | 9257087250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Solano Alcohol Council 419 Pennsylvania St Vallejo CA 94590-6933 Ph: (707) 643-2715 | Southern Solano Alcohol Council 419 Pennsylvania St Vallejo CA 94590-6933 Ph: (707) 643-2715 |
| NPI Number | 1366814998 |
|---|---|
| Provider Enumeration Date | 10/22/2015 |
| Last Update Date | 10/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366814998 | NPI | - | NPPES |
| 5807-R | Other | CA | ALCOHOL AND DRUG COUNSELOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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