Matthew Fava
Matthew Fava is a Mental Health Clinic/Center (Including Community Mental Health Center) in Lodi, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
404 W Pine StLodi, CA 95240-2048
Phone: (209) 769-9554
Fax: (209) 435-0894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X · Licence 47392 (CA) |
|---|
Record details
| NPI number | 1821117284 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Matthew Fava — Doctor · (209) 769-9554 |
| NPI enumerated | March 28, 2007 |
| Last updated in NPPES | April 5, 2012 |
| Mailing address | 507 Yokuts Dr, Lodi, CA 95240-0690 |
Other providers in Lodi
-
San Joaquin County Behavioral Health Services
1209 W Tokay St, Lodi, CA 95240-3845 · (209) 468-8778
-
San Joaquin County Behavioral Health Services
1209 W Tokay St Ste 1 3 5 7 12 14 And 16, Lodi, CA 95240-3845 · (209) 468-8700