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Organization

NAPA STATE HOSPITALS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. RENEE TIVONI MACK M.S.W (CLINICAL SOCIAL WORKER)
(707) 225-3996
Entity
Organization

Contact information

Practice address
2100 NAPA VALLEJO HWY, NAPA, CA 94558-6234
(707) 253-5000
Mailing address
424 STATEN AVE, 304, OAKLAND, CA 94610-4961
(805) 953-4221

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
73152
CA

Other

Enumeration date
02/14/2017
Last updated
02/14/2017
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