Organization
DIGNITY HEALTH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA MEDIA LMFT (BEHAVIORAL HEALTH CLINICIAN III)
(916) 450-2650
Entity
Organization
Contact information
Practice address
6615 VALLEY HI DR, SACRAMENTO, CA 95823-7076
(916) 450-2650
Mailing address
6615 VALLEY HI DR, SACRAMENTO, CA 95823-7076
(916) 450-2650
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
96293
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10306
—
CA
Enumeration date
04/17/2017
Last updated
04/17/2017
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