NPI | 1104361146 |
---|---|
Doing Business As | KOINONIA FAMILY SERVICES |
Entity Type | Organization |
Authorized Contact | TIFFANY DANIELLE SICKLER Executive Director 916-652-5802 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2016-12-29 |
Last Update Date | 2023-11-27 |