Healthcare Provider Details

I. General information

NPI: 1225969264
Provider Name (Legal Business Name): VASA EDUCATIONAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2160 SACRAMENTO ST
VALLEJO CA
94590-3126
US

IV. Provider business mailing address

2635 NAPA ST UNIT 1361
VALLEJO CA
94590-5661
US

V. Phone/Fax

Practice location:
  • Phone: 707-534-8189
  • Fax:
Mailing address:
  • Phone: 707-534-8189
  • Fax:

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: ADJOA MARIE MCDONALD
Title or Position: BOARD PRESIDENT
Credential:
Phone: 559-750-1420