Organization
PSYCHNP CONSULTANTS, INC
Active
Other names
Diamond House Detox
Organization subpart
No
Provider details
NPI number
Authorized official
VICKY MAGOBET (CEO)
(916) 633-8353
Entity
Organization
Contact information
Practice address
8500 CROWN PRINCE CT, ELK GROVE, CA 95624-1779
(916) 633-8353
Mailing address
8624 DIAMOND OAK WAY, ELK GROVE, CA 95624-1755
(916) 633-8353
(916) 633-8353
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
09/06/2023
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