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Kenneth Dean Sanders, CADCCAS
Substance Abuse Rehabilitation Facility in Visalia, California
NPI 1871039081

Kenneth Dean Sanders is a Substance Abuse Rehabilitation Facility based in Visalia, CA. Kenneth Dean Sanders practices in Visalia, CA and has the professional credentials of CADCCAS. The NPI Number for Kenneth Dean Sanders is 1871039081 and holds a License No. C29611214 (California).

The current practice location address for Kenneth Dean Sanders is 3107 E Kaweah Ave, Visalia, CA and can be reached out via phone at 559-754-2705 and via fax at 559-754-2708.

Location: 3107 E Kaweah Ave, Visalia, CA, 93292-3309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871039081
Provider Name
Kenneth Dean Sanders
Credential
CADCCAS
Provider Entity Type
Individual
Gender
Male
Address
3107 E Kaweah Ave, Visalia, CA, 93292-3309
Phone Number
559-754-2705
Fax Number
559-754-2708
Provider Enumeration Date
01/11/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C29611214 01 CA CCAPP
institution
Provider Business Practice Location Address Details
Address
3107 E Kaweah Ave
City
Visalia
State
California
Zip
93292-3309
Phone Number
559-754-2705
Fax Number
559-754-2708
person
Provider Business Mailing Address Details
Address
3107 E Kaweah Ave
City
Visalia
State
California
Zip
93292-3309
Phone Number
559-754-2705
Fax Number
559-754-2708
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
C29611214 (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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