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Organization

CAROLYN'S PLACE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRI D RAIFORD CADC II (FOUNDER)
(707) 246-2728
Entity
Organization

Contact information

Practice address
1822 SUTTER ST, VALLEJO, CA 94590-4429
(707) 563-8709
(916) 357-9993
Mailing address
1822 SUTTER ST, VALLEJO, CA 94590-4429
(707) 563-8709
(916) 357-9993

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
09/08/2025
Last updated
09/08/2025
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