Organization
GENDER HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID NYLUND LCSW, PH.D (CLINICAL DIRECTOR)
(916) 719-5581
Entity
Organization
Contact information
Practice address
9175 KIEFER BLVD, SUITE 116, SACRAMENTO, CA 95826-5147
(916) 719-5581
Mailing address
9175 KIEFER BLVD, SUITE 116, SACRAMENTO, CA 95826-5147
(916) 719-5581
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCS14463
CA
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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