Provider Demographics
NPI:1770267841
Name:FIRST 5 YOLO
Entity type:Organization
Organization Name:FIRST 5 YOLO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BEHAVIORAL HEALTH COMPLIANCE OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-666-8983
Mailing Address - Street 1:2779 DEL RIO PL UNIT A
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95618-6821
Mailing Address - Country:US
Mailing Address - Phone:530-669-2475
Mailing Address - Fax:
Practice Address - Street 1:2779 DEL RIO PL UNIT A
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95618-6821
Practice Address - Country:US
Practice Address - Phone:530-669-2475
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YOLO COUNTY HEALTH AND HUMAN SERVICES AGENCY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-09
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty
No251B00000XAgenciesCase ManagementGroup - Single Specialty