Organization
MENDING HEARTS MENDING MINDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY DWAYNE MORRISON M.S. (PROGRAM DIRECTOR)
(916) 960-7795
Entity
Organization
Contact information
Practice address
6524 44TH STREET, SACRAMENTO, CA 95823-5667
(916) 960-7795
Mailing address
1500 W EL CAMINO AVENUE #464, SACRAMENTO, CA 95833-9756
(916) 960-7795
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
IMF83840
CA
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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