| At Provider Group Of California Pc | |
|
3550 Watt Ave Ste 140 Sacramento CA 95821-2666 | |
| (845) 769-8758 | |
| Not Available |
| Full Name | At Provider Group Of California Pc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 3550 Watt Ave Ste 140, Sacramento, California |
| Authorized Official Name and Position | Renee Mullings (DIRECTOR OF COMPLIANCE) |
| Authorized Official Contact | 9516919101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| At Provider Group Of California Pc 3550 Watt Ave Ste 140 Sacramento CA 95821-2666 Ph: (845) 769-8758 | At Provider Group Of California Pc 3550 Watt Ave Ste 140 Sacramento CA 95821-2666 Ph: (845) 769-8758 |
| NPI Number | 1700580305 |
|---|---|
| Provider Enumeration Date | 03/28/2023 |
| Last Update Date | 03/28/2023 |
| Certification Date | 03/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700580305 | NPI | - | NPPES |
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