Organization
HOUSE OF ACTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HATTIE SMITH-MILES (DIRECTOR/OWNER)
(707) 553-1042
Entity
Organization
Contact information
Practice address
627 GRANT ST, VALLEJO, CA 94590-7228
(707) 553-1042
(707) 553-8146
Mailing address
627 GRANT ST, VALLEJO, CA 94590-7228
(707) 553-1042
(707) 553-8146
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
480010AN
CA
324500000X
Substance Abuse Rehabilitation Facility
480010BN
CA
324500000X
Substance Abuse Rehabilitation Facility
480010DN
CA
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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