Organization
NATIONAL COUNCIL ON ALCOHOLISM AND DRUG DEPENDANCE, SACRAMENTO REGION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI BUCKSTEAD PANE (EXECUTIVE DIRECTOR)
(916) 922-9217
Entity
Organization
Contact information
Practice address
2316 BELL EXECUTIVE LN, SACRAMENTO, CA 95825-4068
(916) 922-9217
(916) 576-6274
Mailing address
2316 BELL EXECUTIVE LN, SACRAMENTO, CA 95825-4067
(916) 922-9217
(916) 576-6274
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
19608
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3465
DMC
CA
Enumeration date
05/19/2006
Last updated
08/22/2020
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