Healthcare Provider Details

I. General information

NPI: 1679477475
Provider Name (Legal Business Name): COLOR THE BLOCK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4625 44TH ST STE 6
SACRAMENTO CA
95820-3909
US

IV. Provider business mailing address

4625 44TH ST STE 6
SACRAMENTO CA
95820-3909
US

V. Phone/Fax

Practice location:
  • Phone: 916-527-4282
  • Fax:
Mailing address:
  • Phone: 916-527-4282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MORGAN BROWN
Title or Position: CEO
Credential:
Phone: 916-527-4282