Organization
MAAP
Active
Organization
MAAP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORENA MORENO M1306272236 (AOD COUNSELOR 1)
(916) 394-2323
Entity
Organization
Contact information
Practice address
4241 FLORIN RD, SACRAMENTO, CA 95823-2535
(916) 394-2323
Mailing address
4241 FLORIN RD, SACRAMENTO, CA 95823-2535
(916) 394-2323
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
M1306272236
CA
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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