MAURICE DETHANIEL BAILEY

SACRAMENTO, CA
NPI1740881952
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2020-11-04
Last Update Date2020-11-04
Business Address
MR. MAURICE DETHANIEL BAILEY
7000 FRANKLIN BLVD STE 625
SACRAMENTO, CA 95823
Phone number: 916-388-9418
Mailing Address
MR. MAURICE DETHANIEL BAILEY
6143 VIA CASITAS
CARMICHAEL, CA 95608
Phone number: 916-224-7097