| Nalls Foundation | |
|
1261 Travis Blvd Suite 240 Fairfield CA 94533-4897 | |
| (707) 389-4804 | |
| Not Available |
| Full Name | Nalls Foundation |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 1261 Travis Blvd, Fairfield, California |
| Authorized Official Name and Position | Tina Dollison (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4155056427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nalls Foundation Po Box 460338 San Francisco CA 94146-0338 Ph: (415) 505-6427 | Nalls Foundation 1261 Travis Blvd Suite 240 Fairfield CA 94533-4897 Ph: (707) 389-4804 |
| NPI Number | 1205367141 |
|---|---|
| Provider Enumeration Date | 03/22/2017 |
| Last Update Date | 03/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205367141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Secondary |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 487005267 (California) | Primary |
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