Organization
SCMHTC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL SCOTT BRAY MFT (TREATMENT CENTER PROGRAM COORDINATO)
(916) 875-1020
Entity
Organization
Contact information
Practice address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 875-1000
Mailing address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 875-1000
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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