Organization
MEXICAN AMERICAN ADDICTION PROGRAM
Active
Other names
Mi Casa Recovery Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAUL CRUZ (EXECUTIVE DIRECTOR)
(916) 394-2323
Entity
Organization
Contact information
Practice address
2515 48TH AVE, SACRAMENTO, CA 95822-3810
(916) 394-2328
(916) 339-1340
Mailing address
4241 FLORIN RD STE 65, SACRAMENTO, CA 95823-2535
(916) 394-2323
(916) 394-2480
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
340004BN
CA
Other
Enumeration date
05/17/2013
Last updated
03/19/2014
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