Organization
WYNSPRING FAMILY RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DE J KOVILL (EXECUTIVE DIRECTOR)
(916) 480-0280
Entity
Organization
Contact information
Practice address
2211 PARK TOWNE CIR STE 4, SACRAMENTO, CA 95825-0414
(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
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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