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7001a East Parkway Sacramento CA 95823-2501 | |
| (916) 874-6057 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 7001a East Parkway, Sacramento, California |
| Authorized Official Name and Position | Ryan Quist (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Contact | 9168759904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7001a East Pkwy Sacramento CA 95823-2501 Ph: (916) 875-4948 | 7001a East Parkway Sacramento CA 95823-2501 Ph: (916) 874-6057 |
| NPI Number | 1053704320 |
|---|---|
| Provider Enumeration Date | 03/11/2015 |
| Last Update Date | 12/31/2024 |
| Certification Date | 12/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053704320 | NPI | - | NPPES |
| 34XX | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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