# 4TH SECOND

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992419709
- **Authorized official:** EMILY FISHER MD (DIRECTOR OF COMMUNITY HEALTH)
- **Authorized official phone:** (530) 574-4847

## Contact information

- **Practice address:** 929 AMADOR ST, VALLEJO, CA 94590-4606
- **Practice address phone:** (707) 335-0300
- **Mailing address:** 839 VALLE VISTA AVE, VALLEJO, CA 94590-3542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 251X00000X | Supports Brokerage Agency | — | NULL | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 01/06/2023
- **Last updated:** 01/06/2023