Provider Demographics
NPI:1922834050
Name:CENTER FOR URBAN EXCELLENCE
Entity type:Organization
Organization Name:CENTER FOR URBAN EXCELLENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:REINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-731-4243
Mailing Address - Street 1:PO BOX 5543
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94591-0555
Mailing Address - Country:US
Mailing Address - Phone:707-731-9897
Mailing Address - Fax:
Practice Address - Street 1:1802 SPRINGS RD
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-5518
Practice Address - Country:US
Practice Address - Phone:707-731-9897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-13
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
No172V00000XOther Service ProvidersCommunity Health Worker
No251B00000XAgenciesCase Management
No251V00000XAgenciesVoluntary or Charitable
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local