Healthcare Provider Details

I. General information

NPI: 1861877722
Provider Name (Legal Business Name): CATHOLIC CHARITIES OF YOLO-SOLANO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2015
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

823 JEFFERSON ST STE A
FAIRFIELD CA
94533-5500
US

IV. Provider business mailing address

823 JEFFERSON ST STE A
FAIRFIELD CA
94533-5500
US

V. Phone/Fax

Practice location:
  • Phone: 707-644-8909
  • Fax: 707-644-6314
Mailing address:
  • Phone: 707-644-8909
  • Fax: 707-644-6314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JOHN FRANCIS WATKINS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 707-644-8909