| Elk Grove Rehab & Counseling Center | |
|
7807 Laguna Blvd., Suite 480 Elk Grove CA 95758 | |
| (916) 385-4438 | |
| (916) 897-4438 |
| Full Name | Elk Grove Rehab & Counseling Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 7807 Laguna Blvd., Suite 480, Elk Grove, California |
| Authorized Official Name and Position | Kirk Jay Austin (CEO/PA) |
| Authorized Official Contact | 9163854438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elk Grove Rehab & Counseling Center 7807 Laguna Blvd Ste 480 Elk Grove CA 95758-7953 Ph: (916) 385-4438 | Elk Grove Rehab & Counseling Center 7807 Laguna Blvd., Suite 480 Elk Grove CA 95758 Ph: (916) 385-4438 |
| NPI Number | 1447737333 |
|---|---|
| Provider Enumeration Date | 07/24/2018 |
| Last Update Date | 07/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447737333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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