Organization
COUNTY OF SOLANO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIVIVE VENZON (DIRECTOR OF AMIN SERVICES)
(707) 784-7651
Entity
Organization
Contact information
Practice address
740 BECK AVE, FAIRFIELD, CA 94533-4440
(707) 784-6570
Mailing address
475 UNION AVE, FAIRFIELD, CA 94533-6319
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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