| Father Keith B. Kenney Elementary School | |
|
3307 Broadway Ste 100 Sacramento CA 95817-2821 | |
| (916) 454-4242 | |
| (916) 454-2930 |
| Full Name | Father Keith B. Kenney Elementary School |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3307 Broadway Ste 100, Sacramento, California |
| Authorized Official Name and Position | Sandra Hill (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9164544242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Father Keith B. Kenney Elementary School 3307 Broadway Ste 100 Sacramento CA 95817-2821 Ph: (916) 454-4242 | Father Keith B. Kenney Elementary School 3307 Broadway Ste 100 Sacramento CA 95817-2821 Ph: (916) 454-4242 |
| NPI Number | 1679706444 |
|---|---|
| Provider Enumeration Date | 08/27/2009 |
| Last Update Date | 08/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679706444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 340008AN (California) | Primary |
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