| Child Haven Inc | |
|
801 Empire St Fairfield CA 94533-5702 | |
| (707) 425-5744 | |
| (707) 425-5162 |
| Full Name | Child Haven Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 801 Empire St, Fairfield, California |
| Authorized Official Name and Position | Alma Uribe Chinas (MFT- TRAINEE) |
| Authorized Official Contact | 7074255744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Haven Inc 801 Empire St Fairfield CA 94533-5702 Ph: (707) 425-5744 | Child Haven Inc 801 Empire St Fairfield CA 94533-5702 Ph: (707) 425-5744 |
| NPI Number | 1154720712 |
|---|---|
| Provider Enumeration Date | 08/20/2014 |
| Last Update Date | 08/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154720712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (California) | Secondary |
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