Provider Demographics
NPI:1790864544
Name:SCOTT, JAMES GREGORY (CEO)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:GREGORY
Last Name:SCOTT
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Gender:M
Credentials:CEO
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Mailing Address - Street 1:7600 GREENHAVEN DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831-5604
Mailing Address - Country:US
Mailing Address - Phone:916-665-1804
Mailing Address - Fax:916-665-1807
Practice Address - Street 1:7600 GREENHAVEN DR
Practice Address - Street 2:SUITE 202
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831-5604
Practice Address - Country:US
Practice Address - Phone:916-665-1804
Practice Address - Fax:916-665-1807
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2008-06-19
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)