| Core-mariposa | |
|
600 Bercut Dr Sacramento CA 95811-0131 | |
| (916) 440-1550 | |
| Not Available |
| Full Name | Core-mariposa |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 600 Bercut Dr, Sacramento, California |
| Authorized Official Name and Position | Genelle Cazares (CEO) |
| Authorized Official Contact | 9164410226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Core-mariposa 3780 Rosin Ct Ste 110 Sacramento CA 95834-1698 Ph: (916) 826-5905 | Core-mariposa 600 Bercut Dr Sacramento CA 95811-0131 Ph: (916) 440-1550 |
| NPI Number | 1891434395 |
|---|---|
| Provider Enumeration Date | 06/02/2022 |
| Last Update Date | 08/23/2024 |
| Certification Date | 08/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891434395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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