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Organization
READY4CHANGE
Active
Organization
READY4CHANGE
Active
Other names
Rio LInda High School
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEO ANTHONY VASQUEZ BSW (PRESIDENT)
(916) 821-9090
Entity
Organization
Contact information
Practice address
6309 DRY CREEK RD, RIO LINDA, CA 95673-4412
(916) 566-2725
Mailing address
6309 DRY CREEK RD, RIO LINDA, CA 95673-4412
(916) 566-2725
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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