Organization
SIERRA STONEGATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY HILL ADMIN. (PRESIDENT)
(530) 354-0304
Entity
Organization
Contact information
Practice address
4140 BUCHANAN DR, FAIR OAKS, CA 95628-6104
(530) 354-0304
(916) 941-7498
Mailing address
4140 BUCHANAN DR, FAIR OAKS, CA 95628-6104
(530) 354-0304
(916) 941-7498
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
CA
324500000X
Substance Abuse Rehabilitation Facility
Primary
340099AP
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113408
AMERICAN ACADEMY OF PAIN MANAGEMENT
CA
01
—
340099AP
DRUG AND ALCOHOL PROGRAMS
CA
Enumeration date
10/26/2009
Last updated
03/26/2013
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