Organization · NPI-2

A Different Path

Clinic/Center, Mental Health (Including Community Mental Health Center) · Sacramento, CA

NPI number1477204162
StatusActive
Last updated in NPPESJan 22, 2025

Details

NPI
1477204162
Entity type
Organization (NPI-2)
Legal business name
A Different Path
Organization subpart
No
Enumeration date
Jan 13, 2022
Certification date
Jan 22, 2025
Last updated
Jan 22, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
101YM0800X Counselor, Mental Health––
261QM0850X Clinic/Center, Adult Mental Health––
261QM0855X Clinic/Center, Adolescent and Children Mental Health––

Other names

  • A Different Path (Doing Business As)

Practice location

7220 24th St Bldg 2
Sacramento, CA 95822-4978

Phone 916-395-5023

Mailing address

5960 S Land Park Dr Ste 144
Sacramento, CA 95822-3313

Phone 916-395-5023

Authorized official

Ahisha Lewis
Executive Director
9163955023

Is something wrong?

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