Organization
ILEIHNO BOPACHEMIHN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KAY CURTIS (EXECUTIVE DIRECTOR)
(916) 296-4522
Entity
Organization
Contact information
Practice address
2312 PAMELA LANE, SACRAMENTO, CA 95825
(916) 692-8172
(916) 692-8178
Mailing address
4343 MARCONI AVENUE, SUITE 6, SACRAMENTO, CA 95821-4343
(916) 571-5060
(855) 447-2658
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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