| |
3612 Madison Ave Suites 29 North Highlands CA 95660-5068 | |
(916) 338-6835 | |
(916) 339-1340 |
Full Name | |
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Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
Location | 3612 Madison Ave, North Highlands, California |
Authorized Official Name and Position | Paul Cruz (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9163943481 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4241 Florin Rd Suite 65 Sacramento CA 95823-2535 Ph: (916) 394-2323 | 3612 Madison Ave Suites 29 North Highlands CA 95660-5068 Ph: (916) 338-6835 |
NPI Number | 1689814592 |
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Provider Enumeration Date | 03/05/2009 |
Last Update Date | 03/19/2014 |
Identifier | Type | State | Issuer |
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1689814592 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 340004CN (California) | Secondary |
261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | 340004CN (California) | Primary |
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Maap Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3437 Myrtle Ave, 405, North Highlands, CA 95660 Phone: 916-338-6835 |