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NPI Code Detail

MEDICARE: RIVER OAK CENTER FOR CHILDREN

MEDICARE: RIVER OAK CENTER FOR CHILDREN
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
1261Q00000XClinic/CenterCA
2261QM0855XAdolescent and Children Mental Health Clinic/CenterCA

General Provider Information

NPI Number : 1487861407
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIVER OAK CENTER FOR CHILDREN
Provider Business Mailing Address
First Line : 925 DEL PASO BLVD STE 300
Second Line :
City : SACRAMENTO
State : CA
Zip : 95815-3512
Country : US
Telephone Number : 916-609-5100
Fax Number :
Provider Business Practice Location Address
First Line : 925 DEL PASO BLVD STE 300
Second Line :
City : SACRAMENTO
State : CA
Zip : 95815-3512
Country : US
Telephone Number : 916-609-5100
Fax Number :
Authorized Official
Title or Position : CEO
Name : MRS. MARY HARGRAVE
Credential : PHD
Telephone Number : 916-609-5107
Provider Enumeration Date : 05/17/2007
Last Update Date : 09/11/2025

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Directions to “RIVER OAK CENTER FOR CHILDREN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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