Organization
STRATEGIE FOR CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BETTY MCORNELIUS D.O (PROGRAM MANAGER)
(916) 395-3552
Entity
Organization
Contact information
Practice address
4343 WILLIAMSBOURGH DR, SACRAMENTO, CA 95823-2006
(916) 395-3552
Mailing address
4343 WILLIAMSBOURGH DR, SACRAMENTO, CA 95823-2006
(916) 395-3552
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
RW4528
CA
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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