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General NPI Number Information
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NPI Number | 1629152715
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Entity Type | Organization
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Legal Business Name | SACRAMENTO CHILDREN'S HOME
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 04/11/2022
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Provider Practice Location Address
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Address Line | 2750 SUTTERVILLE RD
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City | SACRAMENTO
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State | CA
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Zip | 95820-1024
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Country | US
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Telephone | 916-290-8156
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Fax |
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Provider Business Mailing Address
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Address Line | 2750 SUTTERVILLE RD
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City | SACRAMENTO
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State | CA
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Zip | 95820
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Country | US
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Telephone | 916-452-3981
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Fax | 916-454-5031
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Authorized Official
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Title or Position | DIRECTOR OF MENTAL HEALTH
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Name | CHRIS MCCARTY
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Credential | LMFT
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Telephone | 916-452-3981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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