Provider Demographics
NPI:1851710529
Name:NATIONAL EDUCATION ENRICHMENT DEVELOPMENT SERVICES INC
Entity type:Organization
Organization Name:NATIONAL EDUCATION ENRICHMENT DEVELOPMENT SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KALA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON-TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:916-395-4427
Mailing Address - Street 1:PO BOX 661026
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95866-1026
Mailing Address - Country:US
Mailing Address - Phone:916-395-4428
Mailing Address - Fax:916-395-4438
Practice Address - Street 1:1104 CORPORATE WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831
Practice Address - Country:US
Practice Address - Phone:916-395-4428
Practice Address - Fax:916-395-4438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children