Healthcare Provider Details

I. General information

NPI: 1316481864
Provider Name (Legal Business Name): SEKANDER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2016
Last Update Date: 12/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7220 GREENHAVEN DR STE 1
SACRAMENTO CA
95831-3581
US

IV. Provider business mailing address

7220 GREENHAVEN DR STE 1
SACRAMENTO CA
95831-3581
US

V. Phone/Fax

Practice location:
  • Phone: 180-066-4050
  • Fax:
Mailing address:
  • Phone: 180-066-4050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: WANA SEKANDER
Title or Position: CEO
Credential:
Phone: 18006640506