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Organization
NORTHSTATE MENTAL WELLNESS CLINIC
Active
Organization
NORTHSTATE MENTAL WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVIN CHEUNG PHARMD (PRESIDENT / CEO)
(916) 216-6202
Entity
Organization
Contact information
Practice address
2920 PROSPECT PARK DRIVE, RANCHO CORDOVA, CA 95670
(916) 686-7300
Mailing address
9700 W TARON DRIVE, ELK GROVE, CA 95757
(916) 686-7300
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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