Provider Demographics
NPI:1962207316
Name:SET FREE SANGER
Entity type:Organization
Organization Name:SET FREE SANGER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAILIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-304-1883
Mailing Address - Street 1:2716 HOLT AVE
Mailing Address - Street 2:
Mailing Address - City:SANGER
Mailing Address - State:CA
Mailing Address - Zip Code:93657-4249
Mailing Address - Country:US
Mailing Address - Phone:559-399-3835
Mailing Address - Fax:
Practice Address - Street 1:615 ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:SANGER
Practice Address - State:CA
Practice Address - Zip Code:93657-2422
Practice Address - Country:US
Practice Address - Phone:559-399-3835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251X00000XAgenciesSupports Brokerage
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder