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MARTIN'S ACHEIVEMENT PLACE NPI 1194070128


NPI Information

NPI: 1194070128
Provider Name: MARTIN'S ACHEIVEMENT PLACE
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
5240 JACKSON ST
NORTH HIGHLANDS, CA
ZIP 95660
Phone: (916) 338-1001
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MARTIN'S ACHEIVEMENT PLACE is a community based residential treatment facility mental illness in North Highlands, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MARTIN'S ACHEIVEMENT PLACE NPI is 1194070128. The provider is registered as an organization entity type.

The provider's business location address is:

5240 JACKSON ST
NORTH HIGHLANDS, CA
ZIP 95660-003
Phone: (916) 338-1001

The provider's authorized official is Kenneth L Broughton .
The authorized official title is Assistant House Manager and has the following contact phone number (916) 202-1417.

The enumeration date for this NPI number is 7/16/2012 and was last updated on 7/16/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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