Psynergy Sacramento Clinic B | |
4616 Roosevelt Ave Sacramento CA 95820-4520 | |
(916) 457-3129 | |
Not Available |
Full Name | Psynergy Sacramento Clinic B |
---|---|
Speciality | Community/behavioral Health |
Location | 4616 Roosevelt Ave, Sacramento, California |
Authorized Official Name and Position | Arturo Uribe (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 4084658280 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Psynergy Sacramento Clinic B 18225 Hale Ave Morgan Hill CA 95037-3547 Ph: (408) 465-8280 | Psynergy Sacramento Clinic B 4616 Roosevelt Ave Sacramento CA 95820-4520 Ph: (916) 457-3129 |
NPI Number | 1023511318 |
---|---|
Provider Enumeration Date | 03/13/2018 |
Last Update Date | 01/31/2023 |
Certification Date | 01/31/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023511318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 22640 (California) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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