Shannon Cousins-Kamara in Sacramento - Community Based Residential Treatment Facility, Mental Illness
Shannon Cousins-Kamara - NPI 1003086869
Shannon Cousins-Kamara is a Community Based Residential Treatment Facility, Mental Illness in Sacramento, California. Shannon Cousins-Kamara practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Shannon Cousins-Kamara is 1003086869. The last update date is 2018-09-14.
Shannon Cousins-Kamara's current location address is 650 Howe Ave, Sacramento, California. You can contact this provider via phone number 9169934131. The mailing address for Shannon Cousins-Kamara is 650 Howe Ave, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Cousins-Kamara |
|---|---|
| Address | 650 Howe Ave, Sacramento, California |
| Phone Number | 9169934131 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1003086869 |
|---|---|
| Provider Enumeration Date | 2008-03-07 |
| Last Updated Date | 2018-09-14 |
Provider Mailing Address Detail
| Address | 650 Howe Ave |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958254731 |
| Phone Number | 9169934131 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
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Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
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What is the unique 10-digit identification code assigned to Shannon Cousins-Kamara by the Centers for Medicare & Medicaid Services?
The Shannon Cousins-Kamara has been issued the NPI (National Provider Identifier) 1003086869, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Shannon Cousins-Kamara?
The Shannon Cousins-Kamara is situated at 650 Howe Ave, in the city of Sacramento, state of CA, with the zip code 958254731.
What is the Shannon Cousins-Kamara's area of specialization and corresponding taxonomy classification?
The Shannon Cousins-Kamara's specialty field is Community Based Residential Treatment Facility, Mental Illness, and it falls under the taxonomy code 320800000X, which categorizes healthcare providers based on their specialties.
When was the Shannon Cousins-Kamara's 1003086869 issued?
The Shannon Cousins-Kamara's 1003086869 was issued on 2008-03-07.
As of what date was the information regarding Shannon Cousins-Kamara, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shannon Cousins-Kamara, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-09-14.