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Organization
SACRAMENTO CHILD AND ADOLESCENT WELLNESS CENTER CORP
Active
Organization
SACRAMENTO CHILD AND ADOLESCENT WELLNESS CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL SMITH M.D. (OWNER)
(916) 955-3149
Entity
Organization
Contact information
Practice address
2001 N ST, SUITE 100, SACRAMENTO, CA 95811-4237
(916) 538-2477
Mailing address
2742 57TH ST, SACRAMENTO, CA 95817-2402
(916) 508-4069
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
A93664
CA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
A93664
CA
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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