Organization
JOHN RICHARD DURBIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RICHARD DURBIN CADC II (PROGRAM MANAGER)
(916) 453-2704
Entity
Organization
Contact information
Practice address
3600 POWER INN RD STE C, SACRAMENTO, CA 95826-3826
(916) 453-2704
(916) 453-2708
Mailing address
11150 TRINITY RIVER DR APT 85, RANCHO CORDOVA, CA 95670-2965
(916) 213-5753
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
AII8741214
CA
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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