Organization
NATIONAL COUNCIL ON ALCOHOLISM & DRUG DEPENDENCE,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY L PRUITT (EXECUTIVE DIRECTOR)
(916) 922-9217
Entity
Organization
Contact information
Practice address
2143 HURLEY WAY, SUITE 250, SACRAMENTO, CA 95825-3253
(916) 924-4818
(916) 921-1787
Mailing address
2143 HURLEY WAY, SUITE 250, SACRAMENTO, CA 95825-3253
(916) 924-4818
(916) 921-1787
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34AM
MEDI-CAL
CA
Enumeration date
06/25/2008
Last updated
03/23/2017
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