# GREENFIELDS ICF-DDN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GREENFIELDS ICF-DDN
- **Other names:** Greenfields II
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124431689
- **Legal business name:** GREENFIELDS ICF-DDN
- **Authorized official:** TERESITA REYES RN (ADMINISTRATOR)
- **Authorized official phone:** (707) 553-2935

## Contact information

- **Practice address:** 2673 VISTA BONITA, FAIRFIELD, CA 94534-1729
- **Practice address phone:** (707) 553-2935
- **Practice address fax:** (707) 552-1267
- **Mailing address:** 400 SANTA CLARA ST, SUITE 200, VALLEJO, CA 94590-5983
- **Mailing address phone:** (707) 553-2935
- **Mailing address fax:** (707) 552-1267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 010000345 | CA | Yes |

## Other

- **Enumeration date:** 06/03/2014
- **Last updated:** 06/03/2014