| S.a.g.e Project | |
|
1800 Gravenstein Hwy N Sebastopol CA 95472-2607 | |
| (513) 535-7702 | |
| Not Available |
| Full Name | S.a.g.e Project |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1800 Gravenstein Hwy N, Sebastopol, California |
| Authorized Official Name and Position | Nancy Heilner (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4153213159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S.a.g.e Project 1800 Gravenstein Hwy N Sebastopol CA 95472-2607 Ph: (513) 535-7702 | S.a.g.e Project 1800 Gravenstein Hwy N Sebastopol CA 95472-2607 Ph: (513) 535-7702 |
| NPI Number | 1235334236 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 10/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235334236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1041C0700X (California) | Primary |
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