Provider Demographics
NPI:1376600031
Name:DIXON FAMILY SERVICES
Entity Type:Organization
Organization Name:DIXON FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:COOKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-678-0442
Mailing Address - Street 1:155 N 2ND ST
Mailing Address - Street 2:PO BOX 716
Mailing Address - City:DIXON
Mailing Address - State:CA
Mailing Address - Zip Code:95620-3030
Mailing Address - Country:US
Mailing Address - Phone:707-678-0442
Mailing Address - Fax:707-678-4014
Practice Address - Street 1:155 N 2ND ST
Practice Address - Street 2:
Practice Address - City:DIXON
Practice Address - State:CA
Practice Address - Zip Code:95620-3030
Practice Address - Country:US
Practice Address - Phone:707-678-0442
Practice Address - Fax:707-678-4014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management