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Organization
READY4CHANGE
Active
Organization
READY4CHANGE
Active
Other names
uready4change
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEO ANTHONY VASQUEZ I B.S.W, RAS 11 (PRESIDENT / CEO)
(916) 821-9090
Entity
Organization
Contact information
Practice address
3400 WATT AVE, SUITE #205, SACRAMENTO, CA 95821-3602
(916) 821-9090
Mailing address
3400 WATT AVE, SUITE #205, SACRAMENTO, CA 95821-3602
(916) 821-9090
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/18/2013
Last updated
03/31/2014
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