Organization
D & A DETOX CENTER
Active
Parent organization
D & A DETOX CENTER INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
D & A DETOX CENTER INC.
Authorized official
ZELDA LEE TROUTMAN RAS (CEO)
(916) 284-1404
Entity
Organization
Contact information
Practice address
2721 BARBERA WAY, RANCHO CORDOVA, CA 95670-4804
(916) 364-7660
Mailing address
9978 FOLSOM BLVD, SACRAMENTO, CA 95827-1407
(916) 364-3540
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
340035CN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366745622
NONE
CA
Enumeration date
07/08/2011
Last updated
07/08/2011
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