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Kym Rynearson
Substance Abuse Rehabilitation Facility in Sacramento, California
NPI 1720470628

Kym Rynearson is a Substance Abuse Rehabilitation Facility based in Sacramento, CA. Kym Rynearson practices in Sacramento, CA. The NPI Number for Kym Rynearson is 1720470628 and holds a License No. 94-1582683 (California).

The current practice location address for Kym Rynearson is 4049 Miller Way, Sacramento, CA and can be reached out via phone at 916-451-9312 and via fax at 916-451-4018.

Location: 4049 Miller Way, Sacramento, CA, 95817-1332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720470628
Provider Name
Kym Rynearson
Credential
Provider Entity Type
Individual
Gender
Female
Address
4049 Miller Way, Sacramento, CA, 95817-1332
Phone Number
916-451-9312
Fax Number
916-451-4018
Provider Enumeration Date
03/02/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R117281214 01 CA AOD COUNSELOR
institution
Provider Business Practice Location Address Details
Address
4049 Miller Way
City
Sacramento
State
California
Zip
95817-1332
Phone Number
916-451-9312
Fax Number
916-451-4018
person
Provider Business Mailing Address Details
Address
4049 Miller Way
City
Sacramento
State
California
Zip
95817-1332
Phone Number
916-451-9312
Fax Number
916-451-4018
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
94-1582683 (California)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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