NPI 1548668007

Commercial Dynamics

Organisation Physical Disabilities Residential Treatment Facility Elk Grove, CA

Practice location

Address: 9328 Elk Grove Blvd Suite 105, Elk Grove, CA 95624-5063
Phone: (916) 685-0373
Fax: (916) 685-0374

Authorised official

Name: Eric Lee Thompson
Title: Owner
Phone: (916) 685-0373

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 546805 (CA)

Other Residential Treatment Facility, Physical Disabilities providers in California →

Registry record

NPI: 1548668007
Entity type: Organization
NPI issued: 16 Dec 2014
Record last updated: 16 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.