Provider Demographics
NPI:1497816763
Name:ASSOCIATED REHABILITATION PROGRAM FOR WOMEN, INC
Entity Type:Organization
Organization Name:ASSOCIATED REHABILITATION PROGRAM FOR WOMEN, INC
Other - Org Name:CORNERSTONE
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:VOGEL
Authorized Official - Suffix:
Authorized Official - Credentials:CAS II
Authorized Official - Phone:916-944-3920
Mailing Address - Street 1:8400 FAIR OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-2502
Mailing Address - Country:US
Mailing Address - Phone:916-944-3920
Mailing Address - Fax:916-944-7740
Practice Address - Street 1:6348 APPIAN WAY
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-0724
Practice Address - Country:US
Practice Address - Phone:916-944-3920
Practice Address - Fax:916-944-7740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA340001BN251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health