OrganizationActive
716 Establishment
NPI 1205636685 · Social Worker · Fairfield, CA
Provider details
- NPI number
- 1205636685
- Entity type
- Organization
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Authorized official
- Salina Smith, Coo
Mailing address
1210 Gulf Dr
Fairfield, CA 94533-7099
Registry dates
- Enumerated
- 2025-03-15
- Last updated
- 2025-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.