Organization
MATCH2HIRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARL HALL (EXECUTIVE DIRECTOR)
(707) 333-4839
Entity
Organization
Contact information
Practice address
4825 FERNWOOD CT, FAIRFIELD, CA 94534-6856
(707) 280-1071
Mailing address
4825 FERNWOOD CT, FAIRFIELD, CA 94534-6856
(707) 280-1071
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
03/12/2024
Last updated
01/06/2026
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