Organization
ST THERESE'S HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINA A BOUGH (ADMINISTRATOR)
(916) 806-2031
Entity
Organization
Contact information
Practice address
8520 SUNRISE WOODS WAY, SACRAMENTO, CA 95828-5360
(916) 689-8109
Mailing address
8520 SUNRISE WOODS WAY, SACRAMENTO, CA 95828-5360
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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