| Organization Name: | ROCKLIN COMMUNITY COUNSELING CENTER |
| NPI Number: | 1184834277 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEVIN W O'SULLIVAN (EXECUTIVE DIRECTOR) |
| Mailing Address: | 4240 Rocklin Rd Ste 5 Suite 5 Rocklin |
| State: | CA US |
| Postal Code: | 956772862 |
| Phone Number: | 9163150468 |
| Fax Number: | 9163150462 |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 310009DN |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |