Organization
CHILD HAVE,N INC
Active
Other names
Child Haven - Vallejo
Organization subpart
No
Provider details
NPI number
Authorized official
JANE JOHNSON (EXECUTIVE DIRECTOR)
(707) 425-5744
Entity
Organization
Contact information
Practice address
236 GEORGIA ST, STE 202, VALLEJO, CA 94590-5991
(707) 425-5744
(707) 425-5162
Mailing address
801 EMPIRE ST, FAIRFIELD, CA 94533-5702
(707) 425-5744
(707) 425-5162
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFC32744
CA
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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