Stanford Sierra Youth & Families | |
629 Main St Ste 1 Placerville CA 95667-5751 | |
(916) 344-0199 | |
Not Available |
Full Name | Stanford Sierra Youth & Families |
---|---|
Speciality | Community/behavioral Health |
Location | 629 Main St Ste 1, Placerville, California |
Authorized Official Name and Position | Rebecca Ryness (PAYROLL) |
Authorized Official Contact | 9163440199 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stanford Sierra Youth & Families 8912 Volunteer Ln Sacramento CA 95826-3221 Ph: () - | Stanford Sierra Youth & Families 629 Main St Ste 1 Placerville CA 95667-5751 Ph: (916) 344-0199 |
NPI Number | 1821619347 |
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Provider Enumeration Date | 05/06/2020 |
Last Update Date | 05/08/2020 |
Certification Date | 05/08/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821619347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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