| Central Star Children's Outpatient Specialty Mental Health Services | |
|
3800 Watt Ave. Suite 110 Sacramento CA 95821-2622 | |
| (510) 635-9705 | |
| Not Available |
| Full Name | Central Star Children's Outpatient Specialty Mental Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3800 Watt Ave., Sacramento, California |
| Authorized Official Name and Position | Kent Dunlap (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
| Authorized Official Contact | 3102216336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Star Children's Outpatient Specialty Mental Health Services 7677 Oakport St Suite 1010 Oakland CA 94621-1943 Ph: (510) 635-9705 | Central Star Children's Outpatient Specialty Mental Health Services 3800 Watt Ave. Suite 110 Sacramento CA 95821-2622 Ph: (510) 635-9705 |
| NPI Number | 1912463852 |
|---|---|
| Provider Enumeration Date | 02/15/2019 |
| Last Update Date | 01/03/2020 |
| Certification Date | 01/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912463852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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