Organization
COUNTY OF SACRAMENTO
Active
Other names
APSSC Stockton
Organization subpart
No
Provider details
NPI number
Authorized official
UMA ZYKOFSKY (DEPUTY DIRECTOR)
(916) 875-4948
Entity
Organization
Contact information
Practice address
2140 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 875-5164
(916) 875-0877
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
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/07/2010
Last updated
09/25/2014
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