CHARLES FORD

SACRAMENTO, CA
NPI1275901092
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-09-10
Last Update Date2015-09-10
Business Address
-- CHARLES FORD
1446 ETHAN WAY
SACRAMENTO, CA 95825
Phone number: 916-715-3511
Mailing Address
-- CHARLES FORD
1446 ETHAN WAY
SACRAMENTO, CA 95825
Phone number:
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