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4718 Engle Road Carmichael CA 95608 | |
| (916) 489-5316 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4718 Engle Road, Carmichael, California |
| Authorized Official Name and Position | Cesar A Castaneda (DEPUTY DIRECTOR) |
| Authorized Official Contact | 9168260507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2755 Carmichael CA 95609-2755 Ph: (916) 489-5316 | 4718 Engle Road Carmichael CA 95608 Ph: (916) 489-5316 |
| NPI Number | 1689014243 |
|---|---|
| Provider Enumeration Date | 06/27/2013 |
| Last Update Date | 06/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689014243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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