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Organization
PREPARING PEOPLE FOR SUCCESS
Active
Organization
PREPARING PEOPLE FOR SUCCESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAWN FREDERICKA VAUGHAN-WILLIAMS CADC II (EXECUTIVE DIRECTOR)
(916) 289-4730
Entity
Organization
Contact information
Practice address
1513 SPORTS DR, SACRAMENTO, CA 95834-1943
(916) 289-4730
Mailing address
1513 SPORTS DR, SACRAMENTO, CA 95834-1943
(916) 289-4730
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
CA
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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