Organization
SIMSON, WYNN AND WILLIAMS
Active
Other names
Welcome
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALLY WYNN DR.AD, MCA, MRAS (PARTNER/COUNSELOR)
(916) 476-6301
Entity
Organization
Contact information
Practice address
7844 MADISON AVE, SUITE 106, FAIR OAKS, CA 95628-3519
(916) 476-6301
Mailing address
7844 MADISON AVE, SUITE 106, FAIR OAKS, CA 95628-3519
(916) 476-6301
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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