Provider Demographics
NPI:1861877722
Name:CATHOLIC CHARITIES OF SOLANO
Entity type:Organization
Organization Name:CATHOLIC CHARITIES OF SOLANO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:707-556-9137
Mailing Address - Street 1:125 CORPORATE PL
Mailing Address - Street 2:SUITE A
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94590-6968
Mailing Address - Country:US
Mailing Address - Phone:707-556-9137
Mailing Address - Fax:707-644-6314
Practice Address - Street 1:125 CORPORATE PL
Practice Address - Street 2:SUITE A
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94590-6968
Practice Address - Country:US
Practice Address - Phone:707-556-9137
Practice Address - Fax:707-644-6314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-21
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health