Individual
CHRISTINA KIMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3767 BENICIA AVE, SACRAMENTO, CA 95835-2513
(916) 582-4822
Mailing address
3767 BENICIA AVE, SACRAMENTO, CA 95835-2513
(916) 582-4822
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
CA
320700000X
Physical Disabilities Residential Treatment Facility
—
CA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
CA
385H00000X
Respite Care
—
CA
385HR2050X
Respite Care Camp
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
CA
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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