Organization
COUNTY OF SACRAMENTO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MATTOS BUTTERS (CLINICAL MANAGER)
(916) 874-9330
Entity
Organization
Contact information
Practice address
4600 BROADWAY STE 1300, SACRAMENTO, CA 95820-1527
(916) 874-9823
(916) 874-9442
Mailing address
7001A EAST PKWY STE 250, SACRAMENTO, CA 95823-2501
(916) 876-8852
(916) 391-0762
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
560638
CA
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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