Organization
CAMINAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN STEARNS (DIRECTOR OF QUALITY)
(408) 841-4107
Entity
Organization
Contact information
Practice address
956 E TABOR AVE, FAIRFIELD, CA 94533-4104
(707) 422-9345
(707) 422-2910
Mailing address
411 BOREL AVE STE 101, SAN MATEO, CA 94402-3525
(650) 372-4080
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48471
PROGRAM ID
CA
Enumeration date
02/01/2007
Last updated
10/13/2025
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