Organization
G.O.A.L.S. FOR WOMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GWENDOLYN R WILSON LCSW (EXECUTIVE/CLINICAL DIRECTOR/CEO)
(510) 334-0003
Entity
Organization
Contact information
Practice address
1217 DEL PASO BLVD STE A, SACRAMENTO, CA 95815-3660
(916) 621-3783
(888) 847-9365
Mailing address
1217 DEL PASO BLVD STE A, SACRAMENTO, CA 95815-3660
(916) 621-3783
(888) 847-9365
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
LCS 24677
CA
251S00000X
Community/Behavioral Health Agency
Primary
24677
CA
252Y00000X
Early Intervention Provider Agency
LCS 24677
CA
Other
Enumeration date
07/05/2013
Last updated
05/12/2017
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