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Organization
STRATEGIES FOR CHANGE
Active
Organization
STRATEGIES FOR CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BJ DAVIS LAADC (EXECUTIVE DIRECTOR)
(916) 395-3552
Entity
Organization
Contact information
Practice address
3801 BROADWAY, SACRAMENTO, CA 95817-3301
(916) 277-6600
(916) 277-6800
Mailing address
4343 WILLIAMSBOURGH DR, SACRAMENTO, CA 95823-2006
(916) 395-3552
(916) 395-3683
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
340084BN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343425000
—
CA
Enumeration date
01/31/2017
Last updated
01/31/2017
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