| Sacred Bonds | |
|
14570 Mono Way Ste A Sonora CA 95370-8997 | |
| (209) 617-9456 | |
| (209) 396-2974 |
| Full Name | Sacred Bonds |
|---|---|
| Speciality | Counselor |
| Location | 14570 Mono Way Ste A, Sonora, California |
| Authorized Official Name and Position | Alejandro Abarca (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2096179456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Bonds 17775 Plaza Del Sur Rd Sonora CA 95370-8726 Ph: (209) 617-9456 | Sacred Bonds 14570 Mono Way Ste A Sonora CA 95370-8997 Ph: (209) 617-9456 |
| NPI Number | 1730779604 |
|---|---|
| Provider Enumeration Date | 01/24/2021 |
| Last Update Date | 04/05/2021 |
| Certification Date | 04/05/2021 |
| Medicare PECOS PAC ID | 6709272636 |
|---|---|
| Medicare Enrollment ID | O20220401001397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730779604 | NPI | - | NPPES |
| 1538184676 | Medicaid | CA |
| Provider Name | Alejandro Abarca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538184676 PECOS PAC ID: 6709913072 Enrollment ID: I20100416000740 |
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