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Organization

ANOTHER CHOICE ANOTHER CHANCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STAR CANNON CADC II (PROGRAMS MGR./DIR.)
(916) 388-9418
Entity
Organization

Contact information

Practice address
9412 BIG HORN BLVD, ELK GROVE, CA 95758-1101
(916) 388-9418
(916) 388-9273
Mailing address
5450 POWER INN RD STE B, SACRAMENTO, CA 95820-6749
(916) 388-9418
(916) 388-9273

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
09/26/2011
Last updated
02/27/2014
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