Provider Demographics
NPI:1306607072
Name:YOLO COUNTY CHILDREN'S ALLIANCE
Entity type:Organization
Organization Name:YOLO COUNTY CHILDREN'S ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENEBA
Authorized Official - Middle Name:F
Authorized Official - Last Name:LAHAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-375-6258
Mailing Address - Street 1:600 A ST STE Y
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-3648
Mailing Address - Country:US
Mailing Address - Phone:530-757-5558
Mailing Address - Fax:
Practice Address - Street 1:1200 ANNA ST RM 15
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95605-2006
Practice Address - Country:US
Practice Address - Phone:916-572-0560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-19
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage