| Solano Family Support Program | |
|
480 Chadbourne Rd Ste 101 Fairfield CA 94534-9641 | |
| (707) 429-4440 | |
| Not Available |
| Full Name | Solano Family Support Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 480 Chadbourne Rd Ste 101, Fairfield, California |
| Authorized Official Name and Position | Scott Osborn (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5105200943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Solano Family Support Program 8945 Golf Links Rd Oakland CA 94605-4124 Ph: (510) 317-1444 | Solano Family Support Program 480 Chadbourne Rd Ste 101 Fairfield CA 94534-9641 Ph: (707) 429-4440 |
| NPI Number | 1164640702 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 10/23/2023 |
| Certification Date | 10/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164640702 | NPI | - | NPPES |
| 0015 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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