Basic Information
| Provider Information | |||||||||
| NPI: | 1780028019 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TREATMENT ASSOCIATES INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7225 E SOUTHGATE DR STE D | ||||||||
| Address2: | |||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958232651 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9163941000 | ||||||||
| FaxNumber: | 9163941010 | ||||||||
| Practice Location | |||||||||
| Address1: | 7225 E SOUTHGATE DR STE D | ||||||||
| Address2: | |||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958232651 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9163941000 | ||||||||
| FaxNumber: | 9163941010 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/17/2013 | ||||||||
| LastUpdateDate: | 04/17/2013 | ||||||||
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| AuthorizedOfficialLastName: | HART | ||||||||
| AuthorizedOfficialFirstName: | KAREN | ||||||||
| AuthorizedOfficialMiddleName: | DENISE | ||||||||
| AuthorizedOfficialTitleorPosition: | COUNSELOR | ||||||||
| AuthorizedOfficialTelephone: | 9163941000 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251K00000X | Y | Agencies | Public Health or Welfare |
No ID Information.