Provider Demographics
NPI:1790440527
Name:WOMEN OF VIRUE ORGANIZATION
Entity Type:Organization
Organization Name:WOMEN OF VIRUE ORGANIZATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LAND-BILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-407-0123
Mailing Address - Street 1:1820 TRIBUTE RD STE L
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-4307
Mailing Address - Country:US
Mailing Address - Phone:916-407-4055
Mailing Address - Fax:
Practice Address - Street 1:1820 TRIBUTE RD STE L
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-4307
Practice Address - Country:US
Practice Address - Phone:916-407-4055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-06
Last Update Date:2021-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)