Organization
SACRAMENTO COUNTY
Active
Other names
Sacramento County Qualified Individual Assessment Program
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN QUIST (DEPUTY DIRECTOR)
(916) 875-9904
Entity
Organization
Contact information
Practice address
7001A EAST PKWY STE 800, SACRAMENTO, CA 95823-2501
(916) 875-0847
Mailing address
7001A EAST PKWY STE 400, SACRAMENTO, CA 95823-2501
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/14/2021
Last updated
07/08/2022
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