Organization
ASCELLUS BEHAVIORAL HEALTH SOLUTIONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A SACK MD (PRESIDENT)
(561) 832-4999
Entity
Organization
Contact information
Practice address
1267 WILLIS ST STE 200, REDDING, CA 96001-0400
(561) 832-4999
(561) 833-9333
Mailing address
6801 LAKE WORTH RD STE 308, GREENACRES, FL 33467-2966
(561) 601-3092
(561) 833-9333
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118-40-4370
WORKERS COMPENSATION
CA
Enumeration date
05/18/2021
Last updated
05/18/2021
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