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NPI Code Detail

MEDICARE: SACRAMENTO BEHAVIORAL HEALTHCARE HOSPITAL, LLC

MEDICARE: SACRAMENTO BEHAVIORAL HEALTHCARE HOSPITAL, LLC
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
1283Q00000XPsychiatric Hospital

General Provider Information

NPI Number : 1811549504
Entity Type Code : Organization
Provider Name (Legal Business Name) : SACRAMENTO BEHAVIORAL HEALTHCARE HOSPITAL, LLC
Provider Business Mailing Address
First Line : 1450 W LONG LAKE RD STE 340
Second Line :
City : TROY
State : MI
Zip : 48098-6330
Country : US
Telephone Number : 248-905-5091
Fax Number :
Provider Business Practice Location Address
First Line : 1400 EXPO PKWY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95815-4230
Country : US
Telephone Number : 877-978-4848
Fax Number :
Authorized Official
Title or Position : VP/MANAGING COUNSEL
Name : HANA ATTAR
Credential :
Telephone Number : 248-905-5091
Provider Enumeration Date : 07/12/2019
Last Update Date : 07/12/2019

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