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5601 47th Ave Sacramento CA 95824-4031 | |
| (916) 433-5300 | |
| (916) 388-9273 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5601 47th Ave, Sacramento, California |
| Authorized Official Name and Position | Vannessa Lindsey (CEO) |
| Authorized Official Contact | 9163612089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2801 Aramon Dr Rancho Cordova CA 95670-4803 Ph: (916) 361-2089 | 5601 47th Ave Sacramento CA 95824-4031 Ph: (916) 433-5300 |
| NPI Number | 1407034564 |
|---|---|
| Provider Enumeration Date | 01/31/2008 |
| Last Update Date | 01/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407034564 | NPI | - | NPPES |
| 3434 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3434 (California) | Primary |
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