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Organization
LIVITY TREATMENT CENTER
Active
Organization
LIVITY TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GIBSON LCSW (OWNER)
(916) 426-6009
Entity
Organization
Contact information
Practice address
7200 FAIR OAKS BLVD, SUITE 100, CARMICHAEL, CA 95608-6454
(916) 426-6009
(916) 426-6009
Mailing address
7200 FAIR OAKS BLVD, SUITE 100, CARMICHAEL, CA 95608-6454
(916) 426-6009
(916) 426-6009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27742
CA
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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