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NPI 1972247690

NPI 1972247690 : CENTER FOR HIGHER PURPOSE : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1972247690
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    Entity Type          |    Organization 
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    Legal Business Name  |    CENTER FOR HIGHER PURPOSE 
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Dates
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    Enumeration Date     |    04/27/2022
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    Last Update Date     |    06/29/2023
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Provider Practice Location Address
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    Address Line         |    730 HOWE AVE STE 600 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95825-4641
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    Country              |    US
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    Telephone            |    707-365-8008
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    730 HOWE AVE STE 600 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95825-4641
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    Country              |    US
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    Telephone            |    707-365-8008
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    DR. CAROL LOUISE BREILING 
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    Credential           |    PSYD, CATC-V
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    Telephone            |    707-365-8008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR0405X
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    Taxonomy Name        |    Substance Use Disorder Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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