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2012 H St Ste 101&102 Sacramento CA 95811-3100 | |
| (916) 444-5680 | |
| (916) 444-2185 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2012 H St Ste 101&102, Sacramento, California |
| Authorized Official Name and Position | Robin G. Howard (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9163440249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7844 Madison Ave Ste 152 Fair Oaks CA 95628-3540 Ph: (916) 344-0249 | 2012 H St Ste 101&102 Sacramento CA 95811-3100 Ph: (916) 444-5680 |
| NPI Number | 1376793919 |
|---|---|
| Provider Enumeration Date | 09/19/2008 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376793919 | NPI | - | NPPES |
| 000008462 | Other | CA | MEDICAL PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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