Provider Demographics
NPI:1548668007
Name:COMMERCIAL DYNAMICS
Entity type:Organization
Organization Name:COMMERCIAL DYNAMICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-685-0373
Mailing Address - Street 1:9328 ELK GROVE BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-5063
Mailing Address - Country:US
Mailing Address - Phone:916-685-0373
Mailing Address - Fax:916-685-0374
Practice Address - Street 1:9328 ELK GROVE BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-5063
Practice Address - Country:US
Practice Address - Phone:916-685-0373
Practice Address - Fax:916-685-0374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-16
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA546805320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities