OMAR JOHNSON

SACRAMENTO, CA
NPI1245669472
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-11-07
Last Update Date2013-11-07
Business Address
-- OMAR JOHNSON
5400 POWER INN RD
SACRAMENTO, CA 95820-6761
Phone number: 916-541-3579
Mailing Address
-- OMAR JOHNSON
5400 POWER INN RD
SACRAMENTO, CA 95820-6761
Phone number: 916-541-3579