Organization
WYNSPRING FAMILY RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DE J KOVILL (EXEUCTIVE DIRECTOR)
(916) 480-0280
Entity
Organization
Contact information
Practice address
2755 COTTAGE WAY, SUITE 16, SACRAMENTO, CA 95825-1221
(916) 480-0280
(916) 480-0282
Mailing address
PO BOX 71, CITRUS HEIGHTS, CA 95611-0071
(916) 480-0280
(916) 480-0282
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
347004099
CA
Other
Enumeration date
06/25/2016
Last updated
06/25/2016
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