| Patchwork Community Outreach | |
|
9789 Emerald Park Dr Elk Grove CA 95624-2904 | |
| (202) 375-1955 | |
| Not Available |
| Full Name | Patchwork Community Outreach |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9789 Emerald Park Dr, Elk Grove, California |
| Authorized Official Name and Position | Mayaa Gyasi (CEO) |
| Authorized Official Contact | 2023751955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patchwork Community Outreach 9789 Emerald Park Dr Elk Grove CA 95624-2904 | Patchwork Community Outreach 9789 Emerald Park Dr Elk Grove CA 95624-2904 Ph: (202) 375-1955 |
| NPI Number | 1245177658 |
|---|---|
| Provider Enumeration Date | 05/02/2026 |
| Last Update Date | 05/02/2026 |
| Certification Date | 05/02/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245177658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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