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institution
Kaiser Permanente
Adolescent and Children Mental Health Clinic/Center in Vallejo, California
NPI 1922337864

Kaiser Permanente is an Adolescent and Children Mental Health Clinic/Center based in Vallejo, CA and is specialized in Adolescent and Children Mental Health. Kaiser Permanente practices in Vallejo, CA. The NPI Number for Kaiser Permanente is 1922337864 and holds a License No. MFC 47228 (California).

The current practice location address for Kaiser Permanente is 1761 Broadway St, Vallejo, CA and can be reached out via phone at 707-645-2700 and via fax at 707-645-2181.

Location: 1761 Broadway St, Vallejo, CA, 94589
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922337864
Provider Name
Kaiser Permanente
Credential
Provider Entity Type
Organization
Address
1761 Broadway St, Vallejo, CA, 94589
Phone Number
707-645-2700
Fax Number
707-645-2181
Provider Enumeration Date
12/23/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1761 Broadway St
City
Vallejo
State
California
Zip
94589-2226
Phone Number
707-645-2700
Fax Number
707-645-2181
person
Provider Business Mailing Address Details
Address
1761 Broadway St
City
Vallejo
State
California
Zip
94589-2226
Phone Number
707-645-2700
Fax Number
707-645-2181
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
MFC 47228 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
MFC 47228 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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