| Northstate Mental Wellness Clinic | |
|
2920 Prospect Park Drive Rancho Cordova CA 95670 | |
| (916) 686-7300 | |
| Not Available |
| Full Name | Northstate Mental Wellness Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2920 Prospect Park Drive, Rancho Cordova, California |
| Authorized Official Name and Position | Alvin Cheung (PRESIDENT / CEO) |
| Authorized Official Contact | 9162166202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northstate Mental Wellness Clinic 9700 W Taron Drive Elk Grove CA 95757 Ph: (916) 686-7300 | Northstate Mental Wellness Clinic 2920 Prospect Park Drive Rancho Cordova CA 95670 Ph: (916) 686-7300 |
| NPI Number | 1093558363 |
|---|---|
| Provider Enumeration Date | 06/14/2024 |
| Last Update Date | 06/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093558363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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