Organization
716 ESTABLISHMENT
Active
Other names
STRIVE Room and Board
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SALINA SMITH AMFT (COO)
(707) 689-1774
Entity
Organization
Contact information
Practice address
301 DAPHNE DR, FAIRFIELD, CA 94533-1114
(707) 689-1774
Mailing address
1210 GULF DR, FAIRFIELD, CA 94533-7099
(707) 689-1774
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
03/15/2025
Last updated
03/15/2025
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