Individual provider · Type 1 NPI

Jackie Lou Tabbada

Mental Illness Community Based Residential Treatment Facility · Sacramento, CA

NPI number 1851796130 Active

Practice location

4801 34th St
Sacramento, CA 95820-4849

Call (916) 364-8395 Map

Mailing address

9825 Selva Way
Elk Grove, CA 95757-8210

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000X347000518 (CA)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1851796130

Jackie Lou Tabbada's National Provider Identifier is 1851796130, issued on Oct 29, 2014. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Sacramento, CA. The record was last updated on Oct 29, 2014.