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7996 Old Winding Way Ste 300 Fair Oaks CA 95628-7159 | |
| (530) 854-4119 | |
| (530) 854-4118 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 7996 Old Winding Way Ste 300, Fair Oaks, California |
| Authorized Official Name and Position | Thi Hoang (CHIEF REVENUE OFFICE) |
| Authorized Official Contact | 7022058232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2167 Montgomery St Ste 100 Oroville CA 95965-4945 Ph: (702) 205-8232 | 7996 Old Winding Way Ste 300 Fair Oaks CA 95628-7159 Ph: (530) 854-4119 |
| NPI Number | 1780277814 |
|---|---|
| Provider Enumeration Date | 02/19/2021 |
| Last Update Date | 11/08/2021 |
| Certification Date | 11/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780277814 | NPI | - | NPPES |
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