Organization
M.A.A.P.-MI CASA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAY MARTINEZ CAS (PROGRAM MANAGER)
(916) 394-2328
Entity
Organization
Contact information
Practice address
2515 48TH AVE, SACRAMENTO, CA 95822-3810
(916) 394-2328
(916) 394-2457
Mailing address
2515 48TH AVE, SACRAMENTO, CA 95822-3810
(916) 394-2328
(916) 394-2457
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
340004BN
CA
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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