Individual provider · Type 1 NPI

Prentice Deonard Wilson

Community/Behavioral Health Agency · Sacramento, CA

NPI number 1437065703 Active

Practice location

2648 Del Paso Blvd
Sacramento, CA 95815-2352

Call (916) 821-3423 Map

Mailing address

PO Box 340511
Sacramento, CA 95834-0511

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1437065703

Prentice Deonard Wilson's National Provider Identifier is 1437065703, issued on Aug 19, 2026. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Sacramento, CA. The record was last updated on Aug 19, 2026.