Healthcare Provider Details

I. General information

NPI: 1033437579
Provider Name (Legal Business Name): WINDSOR SACRAMENTO ESTATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2010
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 JESSIE AVE
SACRAMENTO CA
95838-2608
US

IV. Provider business mailing address

9526 W PICO BLVD
LOS ANGELES CA
90035-1202
US

V. Phone/Fax

Practice location:
  • Phone: 916-922-8855
  • Fax: 916-922-6208
Mailing address:
  • Phone: 310-730-4800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AVROHOM TRESS
Title or Position: VICE PRESIDENT
Credential:
Phone: 999-999-9999