Mather Youth Academy | |
4420 Monhegan Way Mather CA 95655-3025 | |
(916) 363-5019 | |
Not Available |
Full Name | Mather Youth Academy |
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Speciality | Community/behavioral Health |
Location | 4420 Monhegan Way, Mather, 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 |
---|---|
Mather Youth Academy 7000 Franklin Blvd Ste 625 Sacramento CA 95823-1884 Ph: (916) 388-9418 | Mather Youth Academy 4420 Monhegan Way Mather CA 95655-3025 Ph: (916) 363-5019 |
NPI Number | 1982882734 |
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Provider Enumeration Date | 02/04/2008 |
Last Update Date | 07/17/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982882734 | NPI | - | NPPES |
3434 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 3434 (California) | Primary |
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