person
Jackie Lou Tabbada
Mental Illness Community Based Residential Treatment Facility in Sacramento, California
NPI 1851796130

Jackie Lou Tabbada is a Mental Illness Community Based Residential Treatment Facility based in Elk Grove, CA. Jackie Lou Tabbada practices in Sacramento, CA. The NPI Number for Jackie Lou Tabbada is 1851796130 and holds a License No. 347000518 (California).

The current practice location address for Jackie Lou Tabbada is 4801 34Th St, Sacramento, CA and can be reached out via phone at 916-364-8395. You can also correspond with Jackie Lou Tabbada through the mailing address at 9825 SELVA WAY, ELK GROVE, CA - 95757-8210 (mailing address contact number: 916-601-9336).

Location: 4801 34Th St, Sacramento, CA, 95757-8210
person
Provider Profile Details
NPI Number
1851796130
Provider Name
Jackie Lou Tabbada
Credential
Provider Entity Type
Individual
Gender
Female
Address
4801 34Th St, Sacramento, CA, 95757-8210
Phone Number
916-364-8395
Fax Number
Provider Enumeration Date
10/29/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4801 34Th St
City
State
Zip
95820-4849
Phone Number
916-364-8395
Fax Number
person
Provider Business Mailing Address Details
Address
4801 34Th St
City
State
Zip
95820-4849
Phone Number
916-364-8395
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
347000518 (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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