Healthcare Provider Details

I. General information

NPI: 1194325340
Provider Name (Legal Business Name): SOLANO COUNTY SUPERINTENDENT OF SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2020
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2460 CLAY BANK RD BLDG 8
FAIRFIELD CA
94533-1655
US

IV. Provider business mailing address

5100 BUSINESS CENTER DR
FAIRFIELD CA
94534-1658
US

V. Phone/Fax

Practice location:
  • Phone: 707-399-4807
  • Fax: 707-421-2745
Mailing address:
  • Phone: 707-399-4419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CAMDEN WILLIAM WEBB
Title or Position: DIRECTOR OF BEHAVIORAL HEALTH SERVI
Credential: MFT
Phone: 707-399-4807