| Entropy Behavior Services, Inc. | |
|
2214 21st St Sacramento CA 95818-1710 | |
| (916) 623-5325 | |
| Not Available |
| Full Name | Entropy Behavior Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2214 21st St, Sacramento, California |
| Authorized Official Name and Position | Joel Bosserman (PRESIDENT) |
| Authorized Official Contact | 9169361663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Entropy Behavior Services, Inc. 2214 21st St Sacramento CA 95818-1710 Ph: (916) 623-5325 | Entropy Behavior Services, Inc. 2214 21st St Sacramento CA 95818-1710 Ph: (916) 623-5325 |
| NPI Number | 1073063897 |
|---|---|
| Provider Enumeration Date | 10/05/2016 |
| Last Update Date | 08/18/2022 |
| Certification Date | 08/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073063897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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