Organization
UNITED AND GUIDED
Active
Other names
United And Guided
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IMANI LUCAS MS (EXECUTIVE DIRECTOR)
(800) 707-3358
Entity
Organization
Contact information
Practice address
3810 BROADWAY, SACRAMENTO, CA 95817-3302
(800) 707-3358
Mailing address
3810 BROADWAY, SACRAMENTO, CA 95817-3302
(800) 707-3358
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629738653
—
CA
Enumeration date
09/16/2022
Last updated
12/30/2024
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