# PREPARING PEOPLE FOR SUCCESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215287933
- **Authorized official:** MS. SHAWN FREDERICKA VAUGHAN-WILLIAMS CADC II (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (916) 289-4730

## Contact information

- **Practice address:** 1513 SPORTS DR, SACRAMENTO, CA 95834-1943
- **Practice address phone:** (916) 289-4730
- **Mailing address:** 1513 SPORTS DR, SACRAMENTO, CA 95834-1943
- **Mailing address phone:** (916) 289-4730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | CA | Yes |

## Other

- **Enumeration date:** 09/11/2012
- **Last updated:** 09/11/2012