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Organization
TRIAD FAMILY SERVICES
Active
Organization
TRIAD FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN COWAN (CHIEF EXECUTIVE OFFICER)
(916) 914-7279
Entity
Organization
Contact information
Practice address
2445 ALBATROSS WAY, SUITE 101, SACRAMENTO, CA 95815-2878
(916) 631-0771
(916) 631-0498
Mailing address
2445 ALBATROSS WAY, SUITE 101, SACRAMENTO, CA 95815-2878
(916) 631-0771
(916) 631-0498
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000034CT
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
10/11/2006
Last updated
08/22/2020
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