New Haven Icf-Ddh
New Haven Icf-Ddh is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Vallejo, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
100 Sawyer StVallejo, CA 94589-2039
Phone: (707) 648-2340
Fax: (707) 648-1549
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 010000133 (CA) |
|---|
Record details
| NPI number | 1518148857 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Leonila Padilla — Owner · (707) 655-3225 |
| NPI enumerated | November 15, 2007 |
| Last updated in NPPES | November 15, 2007 |
| Mailing address | 100 Sawyer St, Vallejo, CA 94589-2039 |
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