Healthcare Provider Details

I. General information

NPI: 1730319609
Provider Name (Legal Business Name): HEALTHY INTERVENTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2009
Last Update Date: 12/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2634 WATERTREE WAY
SACRAMENTO CA
95826
US

IV. Provider business mailing address

2634 WATERTREE WAY
SACRAMENTO CA
95826
US

V. Phone/Fax

Practice location:
  • Phone: 530-354-0304
  • Fax: 916-941-7498
Mailing address:
  • Phone: 530-354-0304
  • Fax: 916-941-7498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number340099AP
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number340099AP
License Number StateCA

VIII. Authorized Official

Name: ANTHONY HILL
Title or Position: ADMINISTRATOR
Credential: PHD
Phone: 530-354-0304