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3628 Madison Ave Ste 6 North Highlands CA 95660-5070 | |
| (916) 388-3231 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3628 Madison Ave Ste 6, North Highlands, California |
| Authorized Official Name and Position | Al Rowlett (CEO) |
| Authorized Official Contact | 9163648395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10850 Gold Center Dr Ste 325 Rancho Cordova CA 95670-6177 Ph: (916) 364-8395 | 3628 Madison Ave Ste 6 North Highlands CA 95660-5070 Ph: (916) 388-3231 |
| NPI Number | 1417580093 |
|---|---|
| Provider Enumeration Date | 02/21/2020 |
| Last Update Date | 08/08/2023 |
| Certification Date | 08/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417580093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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