Provider Demographics
NPI:1811549504
Name:SACRAMENTO BEHAVIORAL HEALTHCARE HOSPITAL, LLC
Entity Type:Organization
Organization Name:SACRAMENTO BEHAVIORAL HEALTHCARE HOSPITAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/MANAGING COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:HANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ATTAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-905-5091
Mailing Address - Street 1:1450 W LONG LAKE RD STE 340
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-6330
Mailing Address - Country:US
Mailing Address - Phone:248-905-5091
Mailing Address - Fax:
Practice Address - Street 1:1400 EXPO PKWY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-4230
Practice Address - Country:US
Practice Address - Phone:877-978-4848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-12
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital