| Granite Wellness Centers | |
|
406 Sunrise Ave Ste 100 Roseville CA 95661-4106 | |
| (916) 782-3737 | |
| (916) 782-3739 |
| Full Name | Granite Wellness Centers |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 406 Sunrise Ave Ste 100, Roseville, California |
| Authorized Official Name and Position | Elaine Ebbert (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 5308785166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granite Wellness Centers 406 Sunrise Ave Ste 100 Roseville CA 95661-4106 Ph: (916) 872-1517 | Granite Wellness Centers 406 Sunrise Ave Ste 100 Roseville CA 95661-4106 Ph: (916) 782-3737 |
| NPI Number | 1255526042 |
|---|---|
| Provider Enumeration Date | 09/13/2007 |
| Last Update Date | 03/27/2023 |
| Certification Date | 03/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255526042 | NPI | - | NPPES |
| 31AA | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 310019EN (California) | Primary |
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