G STREET HOUSE BOARD & CARE INC NPI 1164540381

NPI Information

G STREET HOUSE BOARD & CARE, INC is a community based residential treatment facility mental illness in Sacramento, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. G STREET HOUSE BOARD & CARE, INC NPI is 1164540381. The provider is registered as an organization entity type.
The provider Other Name Is Adult Residential Care Home.

The provider's business location address is:

1700 G ST
SACRAMENTO, CA
ZIP 95814-119
Phone: (916) 447-2748

The provider's authorized official is Nellie Mercado Gavino .
The authorized official title is Licensee Administor and has the following contact phone number (916) 447-2748.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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