Organization
COUNTY OF SACRAMENTO
Active
Other names
Power Inn Mental Health Services, Child and Adolescent Psychiatric Services
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN QUIST (DEPUTY DIRECTOR)
(916) 875-9904
Entity
Organization
Contact information
Practice address
3331 POWER INN RD, SUITE 140, SACRAMENTO, CA 95826-3889
(916) 876-6600
(916) 875-0972
Mailing address
7001A EAST PKWY, SUITE 400, SACRAMENTO, CA 95823-2501
(916) 875-4948
(916) 875-6970
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34BB
—
CA
Enumeration date
11/26/2006
Last updated
11/29/2020
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