| Leo Palmiter Community School | |
|
2040 Ethan Way Sacramento CA 95825-0118 | |
| (916) 566-2051 | |
| Not Available |
| Full Name | Leo Palmiter Community School |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2040 Ethan Way, Sacramento, California |
| Authorized Official Name and Position | Star Cannon (PROGRAMS MANAGER/DIRECTOR) |
| Authorized Official Contact | 9163889418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leo Palmiter Community School 7000 Franklin Blvd Ste 625 Sacramento CA 95823-1884 Ph: (916) 388-9418 | Leo Palmiter Community School 2040 Ethan Way Sacramento CA 95825-0118 Ph: (916) 566-2051 |
| NPI Number | 1871771626 |
|---|---|
| Provider Enumeration Date | 02/04/2008 |
| Last Update Date | 07/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871771626 | NPI | - | NPPES |
| 3432 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3432 (California) | Primary |
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