At Provider Group Of California Pc

LBN: At Provider Group Of California Pc
At Provider Group Of California Pc is an health care organization with primary practice located at 3550 Watt Ave Ste 140 , Sacramento CA 95821-2666. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. At Provider Group Of California Pc can be contacted via phone (845) 769-8758, or through Mullings, Renee via phone (951) 691-9101.

Contact Information

Primary practice address
3550 Watt Ave Ste 140 Sacramento CA 95821-2666
Phone: (845) 769-8758
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mullings, Renee LCADC III
Phone: (951) 691-9101

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1700580305
LBN Legal business name At Provider Group Of California Pc
DBA Doing business as
Authorized official Mullings, Renee LCADC III
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2023
Last updated Mar 28th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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