Provider Demographics
NPI:1083869366
Name:YOLO COUNTY CARE CONTIUNNM
Entity Type:Organization
Organization Name:YOLO COUNTY CARE CONTIUNNM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:INDERJEET
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-335-9619
Mailing Address - Street 1:5730 KANDINSKY WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95835-2331
Mailing Address - Country:US
Mailing Address - Phone:916-419-2674
Mailing Address - Fax:
Practice Address - Street 1:5730 KANDINSKY WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95835-2331
Practice Address - Country:US
Practice Address - Phone:916-419-2674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility