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Organization

COMMUNI T

Active
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Organization

COMMUNI T

Active
Other names
O. Community Doulas
Organization subpart
No

Provider details

NPI number
Authorized official
ITHOPIA MCKINNEY (EXECUTIVE DIRECTOR)
(678) 851-4153
Entity
Organization

Contact information

Practice address
10485 FOLSOM BVLD, SUITE B, RANCHO CORDOVA, CA 95670-2157
(678) 851-4153
Mailing address
10485 FOLSOM BVLD, SUITE B, RANCHO CORDOVA, CA 95670-2157
(916) 573-3547

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
175T00000X
Peer Specialist
176B00000X
Midwife
261QC1500X
Community Health Clinic/Center
Primary
363LW0102X
Women's Health Nurse Practitioner
374J00000X
Doula

Other

Enumeration date
07/01/2024
Last updated
08/04/2025
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