| Preparingpeopleforsuccess | |
|
1513 Sports Dr Suite 100 Sacramento CA 95834-1943 | |
| (916) 575-8851 | |
| (916) 575-8861 |
| Full Name | Preparingpeopleforsuccess |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1513 Sports Dr, Sacramento, California |
| Authorized Official Name and Position | Shawn Williams (EXECUTIVEDIRECTOR) |
| Authorized Official Contact | 9165758851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preparingpeopleforsuccess 8780 Madison Ave 224 Fair Oaks CA 95628-3950 Ph: (530) 903-0799 | Preparingpeopleforsuccess 1513 Sports Dr Suite 100 Sacramento CA 95834-1943 Ph: (916) 575-8851 |
| NPI Number | 1982008272 |
|---|---|
| Provider Enumeration Date | 10/15/2014 |
| Last Update Date | 10/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982008272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | GNB32012-03076 (California) | Primary |
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