Organization
KOINONIA FOSTER HOMES, INC.
Active
Other names
Koinonia Family Services, Koinonia Family Restoration Program
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA MILLER LCSW (MENTAL HEALTH SUPERVISOR)
(916) 652-5814
Entity
Organization
Contact information
Practice address
3725 TAYLOR RD, LOOMIS, CA 95650
(946) 652-5814
Mailing address
PO BOX 1403, LOOMIS, CA 95650-1403
(916) 652-5814
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
097005992
CA
320800000X
Mental Illness Community Based Residential Treatment Facility
097005992
CA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
06/29/2018
Last updated
11/03/2025
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