Organization
PSYCHNP CONSULTANTS, INC.
Active
Other names
Diamond House Detox
Organization subpart
No
Provider details
NPI number
Authorized official
VICKY MAGOBET NP (CEO)
(916) 633-8353
Entity
Organization
Contact information
Practice address
9524 SWANBROOK CT, ELK GROVE, CA 95758-1305
(800) 205-6107
(916) 760-4435
Mailing address
8624 DIAMOND OAK WAY, ELK GROVE, CA 95624-1755
(916) 633-8353
(916) 760-4435
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
09/06/2023
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