Psychnp Consultants, INC.
Substance Abuse Rehabilitation Facility in Elk Grove, CA. Organization (NPI-2).
NPI number1467129643
StatusActive
Last updated in NPPESSep 6, 2023
Details
- NPI
- 1467129643
- Entity type
- Organization (NPI-2)
- Legal business name
- Psychnp Consultants, INC.
- Organization subpart
- No
- Enumeration date
- Aug 25, 2021
- Certification date
- Aug 25, 2021
- Last updated
- Sep 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Other names
- Diamond House Detox (Doing Business As)
Practice location
9524 Swanbrook CtElk Grove, CA 95758-1305
Phone 800-205-6107 · Fax 916-760-4435
Mailing address
8624 Diamond Oak WayElk Grove, CA 95624-1755
Phone 916-633-8353 · Fax 916-760-4435
Authorized official
Vicky Magobet
Ceo
9166338353
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