Organization
FAMILLE/FAMILLE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SALAMAH LOCKS RN (CEO)
(916) 428-8411
Entity
Organization
Contact information
Practice address
6431 HOGAN DR, SACRAMENTO, CA 95822-3840
(916) 428-8411
Mailing address
6431 HOGAN DR, SACRAMENTO, CA 95822-3840
(916) 428-8411
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RCF00002F
MEDI-CAL
CA
Enumeration date
08/24/2006
Last updated
08/22/2020
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