| Free To Choose | |
|
212 I St Davis CA 95616-4213 | |
| (530) 758-5304 | |
| Not Available |
| Full Name | Free To Choose |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 212 I St, Davis, California |
| Authorized Official Name and Position | Al Rowlett (CEO) |
| Authorized Official Contact | 9163648395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Free To Choose 3440 Viking Dr Ste 114 Sacramento CA 95827-2844 Ph: (916) 364-8395 | Free To Choose 212 I St Davis CA 95616-4213 Ph: (530) 758-5304 |
| NPI Number | 1134310428 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 12/02/2021 |
| Certification Date | 12/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134310428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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