| Unknown At This Time | |
|
4221 Northgate Blvd Ste 4 Sacramento CA 95834-1227 | |
| (559) 579-0040 | |
| Not Available |
| Full Name | Unknown At This Time |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4221 Northgate Blvd Ste 4, Sacramento, California |
| Authorized Official Name and Position | Ginger Moyer (CLINICAL DIRECTOR AND OWNER) |
| Authorized Official Contact | 5595790040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Unknown At This Time Po Box 10074 Bakersfield CA 93389-0074 Ph: (559) 579-0040 | Unknown At This Time 4221 Northgate Blvd Ste 4 Sacramento CA 95834-1227 Ph: (559) 579-0040 |
| NPI Number | 1063343663 |
|---|---|
| Provider Enumeration Date | 05/25/2026 |
| Last Update Date | 06/11/2026 |
| Certification Date | 06/11/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063343663 | NPI | - | NPPES |
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