Basic Information
| Provider Information | |||||||||
| NPI: | 1265640213 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | VISIONS UNLIMITED, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7000 FRANKLIN BLVD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958231820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9163940800 | ||||||||
| FaxNumber: | 9164297824 | ||||||||
| Practice Location | |||||||||
| Address1: | 3500 FLORIN RD | ||||||||
| Address2: | |||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958231767 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9163940800 | ||||||||
| FaxNumber: | 9164297824 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/21/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | BATES | ||||||||
| AuthorizedOfficialFirstName: | ROLEDA | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 9463940800 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| AuthorizedOfficialCredential: | LCSW | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261Q00000X | Y | Ambulatory Health Care Facilities | Clinic/Center |
No ID Information.