Organization
PSYCHNP CONSULTANTS INC.
Active
Other names
Diamond House Detox, Diamond House Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICKY MAGOBET (CEO/PRESIDENT)
(916) 633-8353
Entity
Organization
Contact information
Practice address
6808 FLEMING AVE, SACRAMENTO, CA 95828-4103
(800) 205-6107
Mailing address
12236 WATERSONG LN, WILTON, CA 95693-9604
(916) 633-8353
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
340111BP
CA
Other
Enumeration date
04/13/2018
Last updated
06/16/2018
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