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Organization
ELK GROVE REHAB & COUNSELING CENTER
Active
Organization
ELK GROVE REHAB & COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK JAY AUSTIN PA (CEO/PA)
(916) 385-4438
Entity
Organization
Contact information
Practice address
7807 LAGUNA BLVD., SUITE 480, ELK GROVE, CA 95758
(916) 385-4438
(916) 897-4438
Mailing address
7807 LAGUNA BLVD STE 480, ELK GROVE, CA 95758-7953
(916) 385-4438
(916) 897-2184
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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