Provider Demographics
NPI:1235534934
Name:AREA AGENCY ON AGING SERVING NAPA AND SOLANO
Entity Type:Organization
Organization Name:AREA AGENCY ON AGING SERVING NAPA AND SOLANO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRYOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-644-6612
Mailing Address - Street 1:400 CONTRA COSTA ST
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94590-6352
Mailing Address - Country:US
Mailing Address - Phone:707-644-6612
Mailing Address - Fax:
Practice Address - Street 1:400 CONTRA COSTA ST
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94590-6352
Practice Address - Country:US
Practice Address - Phone:707-644-6612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-24
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty