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Organization
GENDER HEALTH CENTER
Active
Organization
GENDER HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB RYAN CEPOLLINA MSW (EXECUTIVE DIRECTOR)
(916) 455-2391
Entity
Organization
Contact information
Practice address
3823 V ST, SACRAMENTO, CA 95817-3145
(916) 455-2391
Mailing address
3823 V ST, SACRAMENTO, CA 95817-3145
(916) 455-2391
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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