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Organization

PSYCHNP CONSULTANTS, INC

Active
Other names
Diamond House Detox
Organization subpart
No

Provider details

NPI number
Authorized official
VICKY MAGOBET PMHNP (OWNER/PRESIDENT)
(916) 633-8353
Entity
Organization

Contact information

Practice address
8624 DIAMOND OAK WAY, ELK GROVE, CA 95624-1755
(800) 205-6107
(916) 760-4435
Mailing address
8624 DIAMOND OAK WAY, ELK GROVE, CA 95624-1755
(800) 205-6107
(916) 760-4435

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
340111AP
CA

Other

Enumeration date
02/17/2016
Last updated
05/10/2017
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