NPI | 1245725464 |
---|---|
Doing Business As | KOINONIA FAMILY SERVICES |
Entity Type | Organization |
Authorized Contact | JESSICA MILLER Mental Health Supervisor 916-652-5814 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 253J00000X Foster Care Agency (Licence: CA 097005992) |
320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 097005992) | |
322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
Enumeration Date | 2018-06-29 |
Last Update Date | 2023-02-23 |