Organization
ANOTHER CHOICE ANOTHER CHANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF AGUSTIN CARDENAZ (YOUTH ADVOCATE)
(916) 862-3615
Entity
Organization
Contact information
Practice address
2801 ARAMON DR, RANCHO CORDOVA, CA 95670-4803
(916) 361-2089
(916) 361-2091
Mailing address
10447 AMBASSADOR DR, RANCHO CORDOVA, CA 95670-2279
(916) 635-6635
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
CASE MANAGER
CA
Enumeration date
02/14/2007
Last updated
08/22/2020
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