# WOTHADABORA

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487549911
- **Authorized official:** DANNIE COTTON (CEO)
- **Authorized official phone:** (707) 655-5472

## Contact information

- **Practice address:** 128 EL MONTE AVE, VALLEJO, CA 94591-7947
- **Practice address phone:** (707) 655-5472
- **Mailing address:** 829 SUTTER ST, VALLEJO, CA 94590-6139
- **Mailing address phone:** (707) 655-5472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 06/12/2025
- **Last updated:** 06/12/2025