Organization
WOTHADABORA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNIE COTTON (CEO)
(707) 655-5472
Entity
Organization
Contact information
Practice address
128 EL MONTE AVE, VALLEJO, CA 94591-7947
(707) 655-5472
Mailing address
829 SUTTER ST, VALLEJO, CA 94590-6139
(707) 655-5472
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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