Healthcare Provider Details
I. General information
NPI: 1326959453
Provider Name (Legal Business Name): REFUGEE ENRICHMENT AND DEVELOPMENT ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3425 ARDEN WAY
SACRAMENTO CA
95825-2018
US
IV. Provider business mailing address
3425 ARDEN WAY
SACRAMENTO CA
95825-2018
US
V. Phone/Fax
- Phone: 916-500-4299
- Fax:
- Phone: 916-500-4299
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
USAMA
KHALIL
Title or Position: CEO
Credential:
Phone: 916-500-4299