Healthcare Provider Details

I. General information

NPI: 1144004565
Provider Name (Legal Business Name): KIDSFIRST CHILD ABUSE PREVENTION COUNCIL OF PLACER COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2023
Last Update Date: 08/24/2023
Certification Date: 08/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 AUBURN FOLSOM RD STE 101
AUBURN CA
95603-5030
US

IV. Provider business mailing address

200 AUBURN FOLSOM RD STE 101
AUBURN CA
95603-5030
US

V. Phone/Fax

Practice location:
  • Phone: 530-887-3536
  • Fax:
Mailing address:
  • Phone: 530-887-3536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: DEBBIE GABELICH
Title or Position: CEO
Credential:
Phone: 916-774-6802