Basic Information
| Provider Information | |||||||||
| NPI: | 1205268307 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | ANOTHER CHOICE ANOTHER CHANCE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5450 POWER INN RD STE B | ||||||||
| Address2: | |||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958206749 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9163889418 | ||||||||
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| Practice Location | |||||||||
| Address1: | 715 RILEY ST | ||||||||
| Address2: | |||||||||
| City: | FOLSOM | ||||||||
| State: | CA | ||||||||
| PostalCode: | 956303053 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9163889418 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/31/2013 | ||||||||
| LastUpdateDate: | 07/31/2013 | ||||||||
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| AuthorizedOfficialLastName: | SNELGROVE | ||||||||
| AuthorizedOfficialFirstName: | SANDI | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 9163889418 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LADC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | 3432 | CA | Y | Agencies | Community/Behavioral Health |
No ID Information.