Organization
KOINONIA FOSTER HOMES, INC.
Active
Other names
Koinonia Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA MILLER LCSW (MENTAL HEALTH SUPERVISOR)
(916) 652-5814
Entity
Organization
Contact information
Practice address
3725 TAYLOR RD, LOOMIS, CA 95650-9283
(916) 652-5814
Mailing address
PO BOX 1403, LOOMIS, CA 95650-1403
(916) 652-5814
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
317000912
CA
Other
Enumeration date
07/02/2018
Last updated
11/03/2025
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