Organization
CHILD HAVEN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANE JOHNSON (EXECUTIVE DIRECTOR)
(707) 425-5744
Entity
Organization
Contact information
Practice address
801 EMPIRE ST, FAIRFIELD, CA 94533-5702
(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
—
—
Other
Enumeration date
05/16/2007
Last updated
11/23/2010
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