State of California - Department of Developmental Services

NPI #1841241130 in Yuba City, California

Provider Information

NPI Number
1841241130
Entity Type
Organization
Organization Name
State of California - Department of Developmental Services
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
May 12, 2006
Last Updated
Jan 6, 2009

Practice Location

Address
1251 STABLER LN
ZIP Code
95993-2616
Phone
(530) 822-7000

Authorized Official

Name
MS. KATHY KINSER
Title
DEPUTY DIRECTOR
Phone
(916) 654-1963

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility
Intermediate Care Facility, Intellectual Disabilities
Pharmacy
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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