ROY ALBERT GREEN

SACRAMENTO, CA
NPI1942484779
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-12-28
Last Update Date2007-12-28
Business Address
-- ROY ALBERT GREEN
310 HARRIS AVE A
SACRAMENTO, CA 95838-3249
Phone number: 916-649-6793
Mailing Address
-- ROY ALBERT GREEN
310 HARRIS AVE A
SACRAMENTO, CA 95838-3249
Phone number: 916-649-6793