Organization
MSK SOLUTIONS
Active
Organization
MSK SOLUTIONS
Active
Other names
Mile High Residential and Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TEGRE MILES (CHIEF EXECUTIVE OFFICER)
(510) 681-7988
Entity
Organization
Contact information
Practice address
1116 LEGEND CIR, VALLEJO, CA 94591-8679
(707) 647-3972
Mailing address
3871 QUARRYVILLE CT, FAIRFIELD, CA 94533-6651
(510) 681-7988
(510) 323-8066
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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