Provider First Line Business Practice Location Address:
1600 CALIFORNIA DRIVE, DEPARTMENT OF CORRECTIONS & REHA
Provider Second Line Business Practice Location Address:
CALIFORNIA MEDICINE FAMILY, PSYCHIATRY, INPATIENT PROGR
Provider Business Practice Location Address City Name:
VACAVILLE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95687
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
707-448-6841
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/18/2012