Reims Icfdd-H
NPI #1568650927 in Acampo, California
Provider Information
- NPI Number
- 1568650927
- Entity Type
- Organization
- Organization Name
- Reims Icfdd-H
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Oct 11, 2007
- Last Updated
- Oct 11, 2007
Practice Location
- Address
- 22801 N SOWLES RD
- City
- Acampo
- State
- California
- ZIP Code
- 95220-9608
- Phone
- (209) 366-2119
Authorized Official
- Name
- MR. DOMINADOR DELACRUZ PAJARITO
- Title
- LICENSEE
- Phone
- (209) 366-2119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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