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Organization
PRISON TRANSITION NETWORK
Active
Organization
PRISON TRANSITION NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BEATY (EXECUTIVE DIRECTOR)
(707) 637-6582
Entity
Organization
Contact information
Practice address
690 MARSHALL RD, VACAVILLE, CA 95687-5433
(707) 637-6581
Mailing address
690 MARSHALL RD, VACAVILLE, CA 95687-5433
(707) 637-6581
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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