| Koinonia Family Services | |
|
5465 Aguilar Rd Rocklin CA 95677-3302 | |
| (916) 652-5814 | |
| Not Available |
| Full Name | Koinonia Family Services |
|---|---|
| Speciality | Foster Care Agency |
| Location | 5465 Aguilar Rd, Rocklin, California |
| Authorized Official Name and Position | Jessica Marguerite Miller (MENTAL HEALTH HEAD OF SERVICE) |
| Authorized Official Contact | 9166525814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koinonia Family Services Po Box 1403 Loomis CA 95650-1403 Ph: (916) 652-5802 | Koinonia Family Services 5465 Aguilar Rd Rocklin CA 95677-3302 Ph: (916) 652-5814 |
| NPI Number | 1629570932 |
|---|---|
| Provider Enumeration Date | 03/02/2018 |
| Last Update Date | 10/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629570932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 253J00000X | Foster Care Agency | 317000912 (California) | Primary |
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