| Koinonia Family Services | |
|
3725 Taylor Rd Loomis CA 95650-9283 | |
| (916) 652-5814 | |
| Not Available |
| Full Name | Koinonia Family Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3725 Taylor Rd, Loomis, California |
| Authorized Official Name and Position | Jessica Miller (MENTAL HEALTH SUPERVISOR) |
| Authorized Official Contact | 9166525814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koinonia Family Services Po Box 1403 Loomis CA 95650-1403 Ph: (916) 652-5814 | Koinonia Family Services 3725 Taylor Rd Loomis CA 95650-9283 Ph: (916) 652-5814 |
| NPI Number | 1770079824 |
|---|---|
| Provider Enumeration Date | 07/02/2018 |
| Last Update Date | 07/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770079824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 317000912 (California) | Primary |
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