HOLEY MIC RUN

SACRAMENTO, CA
NPI1821367715
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-12-21
Last Update Date2011-12-21
Business Address
-- HOLEY MIC RUN
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-395-3552
Mailing Address
-- HOLEY MIC RUN
4732 PARKER AVE
SACRAMENTO, CA 95820-4015
Phone number: 916-370-7882
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