The Parent Cooperative Community
NPI #1578003711 in Fair Oaks, California
Provider Information
- NPI Number
- 1578003711
- Entity Type
- Organization
- Organization Name
- The Parent Cooperative Community
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Mar 7, 2017
- Last Updated
- Mar 7, 2017
Practice Location
- Address
- 4426 ILLINOIS AVE
- City
- Fair Oaks
- State
- California
- ZIP Code
- 95628-6307
- Phone
- (916) 965-5135
Authorized Official
- Name
- MS. CARLA DEROSE, MA, MFT
- Title
- DIRECTOR
- Phone
- (916) 965-5135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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