Provider First Line Business Practice Location Address:
NEW DIRECTION-650 HOWE AVE BLDG. 400-B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95825
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-441-0123
Provider Business Practice Location Address Fax Number:
916-441-6893
Provider Enumeration Date:
09/06/2024