Organization · Type 2 NPI

Health & Social Services

Mental Health Clinic/Center (Including Community Mental Health Center) · Fairfield, CA

NPI number 1407913064 Active

Practice location

2101 Courage Dr
Fairfield, CA 94533-6717

Call (707) 784-2140 Map

Fax (707) 784-2164

Mailing address

1390 Matthew Dr
Fairfield, CA 94533-4161

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1407913064

Health & Social Services's National Provider Identifier is 1407913064, issued on Jan 3, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Fairfield, CA. The record was last updated on Jul 18, 2008.