Organization
D & A DETOX CENTER, INC.
Active
Parent organization
D & A DETOX CENTER, INC.
Other names
Creating A Life of Miracles
Organization subpart
Yes
Provider details
NPI number
Legal business name
D & A DETOX CENTER, INC.
Authorized official
MRS. ZELDA LEE TROUTMAN CAS II (CEO)
(916) 364-3540
Entity
Organization
Contact information
Practice address
10586 MALAGA WAY, RANCHO CORDOVA, CA 95670-3749
(916) 364-3540
(916) 364-3540
Mailing address
9978 FOLSOM BLVD, SACRAMENTO, CA 95827-1407
(916) 364-3540
(916) 364-3540
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
PENDING
CA
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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