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Organization
PREPARINGPEOPLEFORSUCCESS
Active
Organization
PREPARINGPEOPLEFORSUCCESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAWN WILLIAMS CADC-II (EXECUTIVEDIRECTOR)
(916) 575-8851
Entity
Organization
Contact information
Practice address
1513 SPORTS DR, SUITE 100, SACRAMENTO, CA 95834-1943
(916) 575-8851
(916) 575-8861
Mailing address
8780 MADISON AVE, 224, FAIR OAKS, CA 95628-3950
(530) 903-0799
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
GNB32012-03076
CA
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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