Healthcare Provider Details

I. General information

NPI: 1851473599
Provider Name (Legal Business Name): CATHOLIC SOCIAL SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5890 NEWMAN CT STE 3
SACRAMENTO CA
95819-2608
US

IV. Provider business mailing address

5890 NEWMAN CT STE 3
SACRAMENTO CA
95819-2608
US

V. Phone/Fax

Practice location:
  • Phone: 916-452-7481
  • Fax: 916-736-0282
Mailing address:
  • Phone: 916-452-7481
  • Fax: 916-736-0282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateCA

VIII. Authorized Official

Name: ALISON ANNE BUCKLEY
Title or Position: CLINICAL DIRECTOR
Credential: M.A.
Phone: 916-452-7481