Healthcare Provider Details

I. General information

NPI: 1083869366
Provider Name (Legal Business Name): YOLO COUNTY CARE CONTIUNNM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2008
Last Update Date: 12/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5730 KANDINSKY WAY
SACRAMENTO CA
95835-2331
US

IV. Provider business mailing address

5730 KANDINSKY WAY
SACRAMENTO CA
95835-2331
US

V. Phone/Fax

Practice location:
  • Phone: 916-419-2674
  • Fax:
Mailing address:
  • Phone: 916-419-2674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. INDERJEET KAUR
Title or Position: MENTAL HEALTH WORKER
Credential:
Phone: 916-335-9619