Healthcare Provider Details

I. General information

NPI: 1356846083
Provider Name (Legal Business Name): CENTERS FOR BEHAVIORAL SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2018
Last Update Date: 09/12/2025
Certification Date: 10/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

236 GEORGIA ST STE 102
VALLEJO CA
94590-5962
US

IV. Provider business mailing address

PO BOX 77
HARRISVILLE MI
48740-0077
US

V. Phone/Fax

Practice location:
  • Phone: 888-544-5553
  • Fax: 888-722-7972
Mailing address:
  • Phone: 888-544-5553
  • Fax: 888-722-7972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-16-21838
License Number StateCA

VIII. Authorized Official

Name: MR. ROSS W WOODS
Title or Position: DIRECTOR
Credential: BCBA
Phone: 888-544-5553