Organization
SAGE PSYTHOTHERAPY,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN KIRK (CEO)
(916) 614-9200
Entity
Organization
Contact information
Practice address
2627 J ST, SECOND FLOOR, SACRAMENTO, CA 95816-4371
(916) 614-9200
Mailing address
352 RIO DEL ORO LN, SACRAMENTO, CA 95825-6326
(916) 614-9200
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
MFT37167
CA
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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