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Organization
ROSEVILLE CENTER FOR INTERVENTIONAL PSYCHIATRY, INC
Active
Organization
ROSEVILLE CENTER FOR INTERVENTIONAL PSYCHIATRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS MD (MEDICAL DIRECTOR)
(916) 755-6000
Entity
Organization
Contact information
Practice address
3200 DOUGLAS BLVD STE 310, ROSEVILLE, CA 95661-4238
(916) 755-6000
Mailing address
3200 DOUGLAS BLVD STE 310, ROSEVILLE, CA 95661-4238
(916) 755-6000
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
03/29/2024
Last updated
10/27/2025
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