Organization
CHILD HAVEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALMA URIBE CHINAS (MFT- TRAINEE)
(707) 425-5744
Entity
Organization
Contact information
Practice address
801 EMPIRE ST, FAIRFIELD, CA 94533-5702
(707) 425-5744
(707) 425-5162
Mailing address
801 EMPIRE ST, FAIRFIELD, CA 94533-5702
(707) 425-5744
(707) 425-5162
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
252Y00000X
Early Intervention Provider Agency
—
CA
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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