Organization
PREPARING PEOPLE FOR SUCCESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN VAUGHAN-WILLIAMS CADC-II (EXECUTIVE DIRECTOR)
(916) 575-8851
Entity
Organization
Contact information
Practice address
1513 SPORTS DR, SACRAMENTO, CA 95834-1943
(916) 575-8851
Mailing address
1513 SPORTS DR, SACRAMENTO, CA 95834-1943
(916) 575-8851
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
121528933
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215287933
ALCOHOL AND DRUG
CA
Enumeration date
01/15/2015
Last updated
01/15/2015
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