| Sacramento Child And Adolescent Wellness Center Corp | |
|
2001 N St Suite 100 Sacramento CA 95811-4237 | |
| (916) 538-2477 | |
| Not Available |
| Full Name | Sacramento Child And Adolescent Wellness Center Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 2001 N St, Sacramento, California |
| Authorized Official Name and Position | Rachael Smith (OWNER) |
| Authorized Official Contact | 9169553149 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacramento Child And Adolescent Wellness Center Corp 2742 57th St Sacramento CA 95817-2402 Ph: (916) 508-4069 | Sacramento Child And Adolescent Wellness Center Corp 2001 N St Suite 100 Sacramento CA 95811-4237 Ph: (916) 538-2477 |
| NPI Number | 1184080681 |
|---|---|
| Provider Enumeration Date | 01/13/2016 |
| Last Update Date | 01/13/2016 |
| Medicare PECOS PAC ID | 5597101410 |
|---|---|
| Medicare Enrollment ID | O20240313002281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184080681 | NPI | - | NPPES |
| Provider Name | Rachael M Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447224449 PECOS PAC ID: 8123174646 Enrollment ID: I20090924000002 |
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