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Organization
STRATEGIES FOR CHANGE
Active
Organization
STRATEGIES FOR CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BJ DAVIS PSYD (EXECUTIVE DIRECTOR)
(916) 395-3552
Entity
Organization
Contact information
Practice address
6879 14TH AVE, SACRAMENTO, CA 95820-3431
(916) 395-3552
(916) 473-5766
Mailing address
4441 AUBURN BLVD STE E, SACRAMENTO, CA 95841-4139
(916) 473-5764
(916) 473-5766
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
11/25/2014
Last updated
11/25/2014
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