Provider Demographics
NPI:1548404353
Name:MM UNLIMITED LLC
Entity Type:Organization
Organization Name:MM UNLIMITED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:SLIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-429-6341
Mailing Address - Street 1:3811 FLORIN RD STE 12
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-1803
Mailing Address - Country:US
Mailing Address - Phone:916-370-5505
Mailing Address - Fax:916-429-6341
Practice Address - Street 1:3811 FLORIN RD STE 12
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-1803
Practice Address - Country:US
Practice Address - Phone:916-370-5505
Practice Address - Fax:916-429-6341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA67184103TA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Single Specialty