Organization · Type 2 NPI

Greenfields Icf-Ddn

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Vallejo, CA

NPI number 1114330438 Active

Practice location

100 Morgan Ct
Vallejo, CA 94591-8452

Call (707) 553-2935 Map

Fax (707) 552-1267

Mailing address

400 Santa Clara St, Suite 200
Vallejo, CA 94590-5983

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X01000433 (CA)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1114330438

Greenfields Icf-Ddn's National Provider Identifier is 1114330438, issued on Jun 4, 2014. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Vallejo, CA. The record was last updated on Jun 4, 2014.