Organization
SACRAMENTO CHILD AND ADOLESCENT WELLNESS CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL SMITH M.D. (OWNER)
(916) 955-3149
Entity
Organization
Contact information
Practice address
2001 N ST, SUITE 100, SACRAMENTO, CA 95811-4237
(916) 538-2477
Mailing address
2742 57TH ST, SACRAMENTO, CA 95817-2402
(916) 508-4069
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
A93664
CA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
A93664
CA
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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