Organization · Type 2 NPI

Dignity Health Medical Foundation

Adolescent and Children Mental Health Clinic/Center · Sacramento, CA

NPI number 1972637908 Active

Practice location

6615 Valley Hi Dr, Suite A
Sacramento, CA 95823-7076

Call (916) 681-6300 Map

Fax (916) 681-6354

Mailing address

3000 Q St
Sacramento, CA 95816-7058

Specialties and licenses

Taxonomy	Code	License
Adolescent and Children Mental Health Clinic/Center Primary	261QM0855X	None listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

79 other providers at this address

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NPI record

NPI: 1972637908
Entity type: Organization (Type 2)
Issued: Mar 14, 2007
Last updated: Nov 18, 2020
Status: Active
Subpart: Yes of Dignity Health Medical Foundation

Other names

<unavail>
Children's South · doing business as
Children's South · doing business as

Authorized official

Theresa M Hylen
Chief Financial Officer
(916) 851-2559

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1972637908

Dignity Health Medical Foundation's National Provider Identifier is 1972637908, issued on Mar 14, 2007. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Sacramento, CA. The record was last updated on Nov 18, 2020.