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NPI Code Detail

MEDICARE: COUNTY OF SACRAMENTO

MEDICARE: COUNTY OF SACRAMENTO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1396114104
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF SACRAMENTO
Provider Business Mailing Address
First Line : 7001A EAST PKWY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95823-2501
Country : US
Telephone Number : 916-875-4984
Fax Number : 916-875-6970
Provider Business Practice Location Address
First Line : 1215 DEL PASO BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95815-3608
Country : US
Telephone Number : 916-875-0847
Fax Number : 916-875-0877
Authorized Official
Title or Position : DEPUTY DIRECTOR
Name : UMA ZYKOFSKY
Credential :
Telephone Number : 916-875-9909
Provider Enumeration Date : 09/22/2015
Last Update Date : 09/22/2015

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Directions to “COUNTY OF SACRAMENTO ” Practice Location

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