Organization
BRANDGOV
Active
Organization
BRANDGOV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KESHA PATRICE WILLIAMS (CEO)
(707) 332-7825
Entity
Organization
Contact information
Practice address
425 VIRGINIA ST STE B, VALLEJO, CA 94590-6017
(707) 332-7825
Mailing address
4825 FERNWOOD CT, FAIRFIELD, CA 94534-6856
(707) 332-7825
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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