Organization
CAPITAL STAR
Active
Other names
Capital Star Behavior Health
Organization subpart
No
Provider details
NPI number
Authorized official
SENGXAI LOR (MENTAL HEALTH WORKER)
(334) 367-9953
Entity
Organization
Contact information
Practice address
401 S ST, SACRAMENTO, CA 95811-6919
(334) 367-9953
Mailing address
401 S ST, SACRAMENTO, CA 95811-6919
(334) 367-9953
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
987654321
—
CA
Enumeration date
05/16/2019
Last updated
05/16/2019
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