| Livity Treatment Center | |
|
7200 Fair Oaks Blvd Suite 100 Carmichael CA 95608-6454 | |
| (916) 426-6009 | |
| (916) 426-6009 |
| Full Name | Livity Treatment Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7200 Fair Oaks Blvd, Carmichael, California |
| Authorized Official Name and Position | Mark Gibson (OWNER) |
| Authorized Official Contact | 9164266009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Livity Treatment Center 7200 Fair Oaks Blvd Suite 100 Carmichael CA 95608-6454 Ph: (916) 426-6009 | Livity Treatment Center 7200 Fair Oaks Blvd Suite 100 Carmichael CA 95608-6454 Ph: (916) 426-6009 |
| NPI Number | 1790115871 |
|---|---|
| Provider Enumeration Date | 11/26/2013 |
| Last Update Date | 11/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790115871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 27742 (California) | Primary |
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