Provider Demographics
NPI:1558922187
Name:SOLANO COUNTY SUPERINTENDENT OF SCHOOLS
Entity Type:Organization
Organization Name:SOLANO COUNTY SUPERINTENDENT OF SCHOOLS
Other - Org Name:SOLANO COUNTY OFFICE OF EDUCATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, INTERNAL BUSINESS SERVICE
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:LENTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-399-4419
Mailing Address - Street 1:2460 CLAY BANK ROAD
Mailing Address - Street 2:BUILDING 2
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533
Mailing Address - Country:US
Mailing Address - Phone:707-399-4855
Mailing Address - Fax:707-421-2745
Practice Address - Street 1:5100 BUSINESS CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94534
Practice Address - Country:US
Practice Address - Phone:707-399-4419
Practice Address - Fax:707-863-4172
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOLANO COUNTY SUPERINTENDENT OF SCH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-06-25
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251300000XAgenciesLocal Education Agency (LEA)
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Multi-Specialty
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchoolGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty