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Organization

STAND UP PLACER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARY MCDONALD (CEO/EXECUTIVE DIRECTOR)
(530) 823-6224
Entity
Organization

Contact information

Practice address
300 DEREK PL, ROSEVILLE, CA 95678-7011
(916) 773-7273
Mailing address
PO BOX 5462, AUBURN, CA 95604-5462

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
01/02/2025
Last updated
01/02/2025
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