| Estrellita High School | |
|
12935 Marengo Rd Galt CA 95632-8422 | |
| (916) 473-5764 | |
| Not Available |
| Full Name | Estrellita High School |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12935 Marengo Rd, Galt, California |
| Authorized Official Name and Position | Cynthia Keeth (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9164735764 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Estrellita High School 4441 Auburn Blvd Suite E Sacramento CA 95841-4139 Ph: (916) 473-5764 | Estrellita High School 12935 Marengo Rd Galt CA 95632-8422 Ph: (916) 473-5764 |
| NPI Number | 1558548792 |
|---|---|
| Provider Enumeration Date | 01/30/2008 |
| Last Update Date | 06/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558548792 | NPI | - | NPPES |
| 343425000 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 340084AN (California) | Primary |
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