Provider Demographics
NPI:1104441757
Name:C&B FAMILY CORPORATION
Entity type:Organization
Organization Name:C&B FAMILY CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:RABIIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDUL-ALI
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:916-495-4561
Mailing Address - Street 1:2020 29TH ST STE 205
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-1119
Mailing Address - Country:US
Mailing Address - Phone:916-495-4561
Mailing Address - Fax:916-706-0929
Practice Address - Street 1:2020 29TH ST STE 205
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-1119
Practice Address - Country:US
Practice Address - Phone:916-495-4561
Practice Address - Fax:916-706-0929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-10
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1104441757Medicaid