| Early Childhood Mental Health Program | |
|
1726 Sonoma Blvd Vallejo CA 94590-6012 | |
| (707) 810-0098 | |
| Not Available |
| Full Name | Early Childhood Mental Health Program |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1726 Sonoma Blvd, Vallejo, California |
| Authorized Official Name and Position | Jeffrey Thomas Sloan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5103679564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Early Childhood Mental Health Program 1726 Sonoma Blvd Vallejo CA 94590-6012 Ph: (707) 810-0098 | Early Childhood Mental Health Program 1726 Sonoma Blvd Vallejo CA 94590-6012 Ph: (707) 810-0098 |
| NPI Number | 1083419279 |
|---|---|
| Provider Enumeration Date | 02/13/2025 |
| Last Update Date | 02/13/2025 |
| Certification Date | 02/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083419279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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