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3737 Marconi Ave Sacramento CA 95821 | |
| (916) 480-1801 | |
| (916) 854-1809 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3737 Marconi Ave, Sacramento, California |
| Authorized Official Name and Position | Erin Johansen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9164410123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
650 Howe Ave #400 A Sacramento CA 95825 Ph: (916) 441-0123 | 3737 Marconi Ave Sacramento CA 95821 Ph: (916) 480-1801 |
| NPI Number | 1245711373 |
|---|---|
| Provider Enumeration Date | 08/27/2018 |
| Last Update Date | 02/16/2022 |
| Certification Date | 02/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245711373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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