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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOMINIQUE KEENAN, RADT-I

Active Sole Proprietor

DOMINIQUE KEENAN, RADT-I is a Substance Abuse Rehabilitation Facility healthcare provider located in SACRAMENTO, California. NPI 1811447063 is currently active in the NPPES registry. Verify at CMS.

Substance Abuse Rehabilitation Facility · SACRAMENTO, CA

Registration Details

NPI Number
1811447063
Provider Type
Individual
Gender
Female
NPI Issued
Oct 12, 2016 (9.7952879313792 yrs)
Last Updated
Oct 12, 2016
Sole Proprietor
Yes

Practice Information

Address
1550 JULIESSE AVE
SACRAMENTO, CA, 958151803
Browse CA providers · Browse ZIP 95815
Phone
9169216598
Fax
9169216604
Primary Specialty
Substance Abuse Rehabilitation Facility
324500000X

Other Substance Abuse Rehabilitation Facility Providers in SACRAMENTO, CA

Name Credential NPI
MR. JIM D BARKOWSKI 1366682825
RHONDA STEEVER CAS I 1821408626
KYM RYNEARSON 1720470628
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.