| Beyond Bars A Restorative Justice Center | |
|
7405 Greenback Ln # 1497405 Citrus Heights CA 95610-5653 | |
| (916) 243-5337 | |
| Not Available |
| Full Name | Beyond Bars A Restorative Justice Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7405 Greenback Ln # 1497405, Citrus Heights, California |
| Authorized Official Name and Position | Nefertiti K Khemet Goudjayi (CEO) |
| Authorized Official Contact | 9162716797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond Bars A Restorative Justice Center 7405 Greenback Ln # 149 Citrus Heights CA 95610-5653 Ph: (916) 243-5337 | Beyond Bars A Restorative Justice Center 7405 Greenback Ln # 1497405 Citrus Heights CA 95610-5653 Ph: (916) 243-5337 |
| NPI Number | 1124730460 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 12/19/2022 |
| Certification Date | 12/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124730460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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