Healthcare Provider Details

I. General information

NPI: 1386799559
Provider Name (Legal Business Name): NAPA COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 08/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 IMPERIAL WAY SUITE 101
NAPA CA
94559-1344
US

IV. Provider business mailing address

2751 NAPA VALLEY CORPORATE DR HHS - FISCAL DIVISION BLDG B
NAPA CA
94558-6216
US

V. Phone/Fax

Practice location:
  • Phone: 707-253-4651
  • Fax:
Mailing address:
  • Phone: 707-253-4662
  • Fax: 707-299-4163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. HOWARD K HIMES
Title or Position: DIRECTOR
Credential:
Phone: 707-253-4279