716 Establishment

NPI #1205636685 in Fairfield, California

Provider Information

NPI Number: 1205636685
Entity Type: Organization
Organization Name: 716 Establishment
Primary Specialty: Social Worker
Enumeration Date: Mar 15, 2025
Last Updated: Mar 15, 2025

Practice Location

Address: 301 DAPHNE DR
City: Fairfield
State: California
ZIP Code: 94533-1114
Phone: (707) 689-1774

Authorized Official

Name: MRS. SALINA SMITH, AMFT
Title: COO
Phone: (707) 689-1774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Lodging	177F00000X
Case Management	251B00000X
Public Health or Welfare	251K00000X
In Home Supportive Care	253Z00000X
Social Worker	104100000X	Primary

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