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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