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7220 24th St Bldg 2 Sacramento CA 95822-4978 | |
| (916) 395-5023 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7220 24th St Bldg 2, Sacramento, California |
| Authorized Official Name and Position | Ahisha Lewis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9163955023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5960 S Land Park Dr Ste 144 Sacramento CA 95822-3313 Ph: (916) 395-5023 | 7220 24th St Bldg 2 Sacramento CA 95822-4978 Ph: (916) 395-5023 |
| NPI Number | 1477204162 |
|---|---|
| Provider Enumeration Date | 01/13/2022 |
| Last Update Date | 01/22/2025 |
| Certification Date | 01/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477204162 | NPI | - | NPPES |
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