Organization
CHILDREN'S NURTURING PROJECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH L DAVIS R.N. (EXECUTIVE DIRECTOR)
(707) 422-0464
Entity
Organization
Contact information
Practice address
2195 UNION AVE, FAIRFIELD, CA 94533-3240
(707) 422-0464
(707) 422-0465
Mailing address
PO BOX 304, FAIRFIELD, CA 94533-0030
(707) 422-0464
(707) 422-0465
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
CA
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48BI1
DMH EPSDT PROVIDER
CA
Enumeration date
01/02/2007
Last updated
03/02/2015
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