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6879 14th Ave Sacramento CA 95820-3431 | |
| (916) 854-4564 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6879 14th Ave, Sacramento, California |
| Authorized Official Name and Position | Trisha Seastrom (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9168544564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3353 Bradshaw Rd Suite 106 Sacramento CA 95827-2607 Ph: (916) 854-4564 | 6879 14th Ave Sacramento CA 95820-3431 Ph: (916) 854-4564 |
| NPI Number | 1023380581 |
|---|---|
| Provider Enumeration Date | 01/31/2012 |
| Last Update Date | 01/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023380581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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