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Organization
REBOUND REBRAND
Active
Organization
REBOUND REBRAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE SARAH KING BA, SUDRC (CHIEF OF BOARD)
(530) 591-9596
Entity
Organization
Contact information
Practice address
6158 DOLORES AVE, ANDERSON, CA 96007-4807
(530) 591-9596
Mailing address
6158 DOLORES AVE, ANDERSON, CA 96007-4807
(530) 591-9596
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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