Organization
A FAMILY TYME COUNSELING CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIAN W SMITH (OWNER)
(916) 966-4198
Entity
Organization
Contact information
Practice address
4070 BRIDGE ST, #1, FAIR OAKS, CA 95628-7557
(916) 966-4198
Mailing address
4070 BRIDGE ST, #1, FAIR OAKS, CA 95628-7557
(916) 966-4198
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
38147
CA
Other
Enumeration date
09/20/2006
Last updated
06/13/2008
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