Step Up On Second -sacramento | |
4600 Northgate Blvd Ste 235 Sacramento CA 95834-1145 | |
(916) 533-3177 | |
Not Available |
Full Name | Step Up On Second -sacramento |
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Speciality | Community/behavioral Health |
Location | 4600 Northgate Blvd Ste 235, Sacramento, California |
Authorized Official Name and Position | David Mark Tavlin (CHIEF PROGRAM OFFICER) |
Authorized Official Contact | 3109855250 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Step Up On Second -sacramento 4600 Northgate Blvd Ste 235 Sacramento CA 95834-1145 Ph: (916) 533-3177 | Step Up On Second -sacramento 4600 Northgate Blvd Ste 235 Sacramento CA 95834-1145 Ph: (916) 533-3177 |
NPI Number | 1528810413 |
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Provider Enumeration Date | 04/03/2024 |
Last Update Date | 04/03/2024 |
Certification Date | 04/03/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528810413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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