Organization
PANACEA SERVICES, INC.
Active
Other names
Panacea Services, Inc. at Community Collaborative Charter School
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRISHA SEASTROM BA, LAADC, CADC II (EXECUTIVE DIRECTOR)
(916) 854-4564
Entity
Organization
Contact information
Practice address
5715 SKVARLA AVE, MCCLELLAN, CA 95652-2424
(916) 286-5161
Mailing address
3353 BRADSHAW RD, SUITE 106, SACRAMENTO, CA 95827-2607
(916) 854-4564
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
CA
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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