Active NPI
Strategie for Change
- Substance Abuse Rehabilitation Facility
- Sacramento, CA
National Provider Identifier
1831456516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- RW4528
- Legal business name
- STRATEGIE FOR CHANGE
- Practice address
- 4343 Williamsbourgh Dr
Sacramento, CA 95823-2006 - Phone
- (916) 395-3552
- NPI assigned
- Apr 18, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Betty McOrnelius, D.O
- Title
- Program Manager
- Phone
- (916) 395-3552
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | RW4528 | CA | Primary |
Addresses
Primary practice location
4343 Williamsbourgh Dr
Sacramento, CA 95823-2006
Mailing address
4343 Williamsbourgh Dr
Sacramento, CA 95823-2006
Phone (916) 395-3552
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334707200000",
"number": "1831456516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4343 WILLIAMSBOURGH DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958232006",
"telephone_number": "916-395-3552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4343 WILLIAMSBOURGH DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958232006",
"telephone_number": "916-395-3552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRATEGIE FOR CHANGE",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-18",
"last_updated": "2012-04-18",
"status": "A",
"authorized_official_last_name": "MCORNELIUS",
"authorized_official_first_name": "BETTY",
"authorized_official_title_or_position": "PROGRAM MANAGER",
"authorized_official_telephone_number": "916-395-3552",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "D.O"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "CA",
"license": "RW4528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.