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Mr. Aaron Fowler
Mental Illness Community Based Residential Treatment Facility in Auburn, California
NPI 1053620955

Aaron Fowler is a Mental Illness Community Based Residential Treatment Facility based in Auburn, CA. Aaron Fowler practices in Auburn, CA. The NPI Number for Aaron Fowler is 1053620955 and holds a License No. D3002297 (California).

The current practice location address for Aaron Fowler is 11523 C Ave, Auburn, CA and can be reached out via phone at 530-886-3470.

Location: 11523 C Ave, Auburn, CA, 95603-2703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053620955
Provider Name
Aaron Fowler
Credential
Provider Entity Type
Individual
Gender
Male
Address
11523 C Ave, Auburn, CA, 95603-2703
Phone Number
530-886-3470
Fax Number
Provider Enumeration Date
09/27/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11523 C Ave
City
Auburn
State
California
Zip
95603-2703
Phone Number
530-886-3470
Fax Number
person
Provider Business Mailing Address Details
Address
11523 C Ave
City
Auburn
State
California
Zip
95603-2703
Phone Number
530-886-3470
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
D3002297 (California)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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