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Organization
SET FREE SANGER
Active
Organization
SET FREE SANGER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB ZAILIAN (CEO)
(559) 304-1883
Entity
Organization
Contact information
Practice address
615 ACADEMY AVE, SANGER, CA 93657-2422
(559) 399-3835
Mailing address
2716 HOLT AVE, SANGER, CA 93657-4249
(559) 399-3835
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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