Organization
DIGNITY HEALTH MEDICAL FOUNDATION
Active
Parent organization
DIGNITY HEALTH MEDICAL FOUNDATION
Other names
Children's South
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIGNITY HEALTH MEDICAL FOUNDATION
Authorized official
THERESA M HYLEN (CHIEF FINANCIAL OFFICER)
(916) 851-2559
Entity
Organization
Contact information
Practice address
6615 VALLEY HI DR, SUITE A, SACRAMENTO, CA 95823-7076
(916) 681-6300
(916) 681-6354
Mailing address
3000 Q ST, SACRAMENTO, CA 95816-7058
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34AF
COUNTY
CA
Enumeration date
03/14/2007
Last updated
11/18/2020
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