Organization · Type 2 NPI

At Provider Group of California PC

Substance Use Disorder Rehabilitation Clinic/Center · Sacramento, CA

NPI number 1700580305 Active

Practice location

3550 Watt Ave Ste 140
Sacramento, CA 95821-2666

Call (845) 769-8758 Map

Mailing address

PO Box 96634
Phoenix, AZ 85072-6634

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center 261QM0850XNone listed
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed
Substance Abuse Rehabilitation Facility 324500000XNone listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1700580305

At Provider Group of California PC's National Provider Identifier is 1700580305, issued on Mar 28, 2023. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Sacramento, CA. The record was last updated on Aug 13, 2026.