| Jabali Behavioral Health Llc | |
|
9245 Laguna Springs Dr Ste 200 Elk Grove CA 95758-7991 | |
| (530) 537-8244 | |
| Not Available |
| Full Name | Jabali Behavioral Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9245 Laguna Springs Dr Ste 200, Elk Grove, California |
| Authorized Official Name and Position | Veronica Kamau (ADMINISTRATION) |
| Authorized Official Contact | 4434147767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jabali Behavioral Health Llc 8627 Camargue Ct Sacramento CA 95828-5947 Ph: (443) 414-7767 | Jabali Behavioral Health Llc 9245 Laguna Springs Dr Ste 200 Elk Grove CA 95758-7991 Ph: (530) 537-8244 |
| NPI Number | 1861133050 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 03/08/2024 |
| Certification Date | 03/06/2024 |
| Medicare PECOS PAC ID | 2062883697 |
|---|---|
| Medicare Enrollment ID | O20230522001470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861133050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Veronica Kamau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275166381 PECOS PAC ID: 3678997699 Enrollment ID: I20200723002343 |
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