Provider Demographics
NPI:1184758864
Name:CONSUMERS SELF HELP CENTER
Entity type:Organization
Organization Name:CONSUMERS SELF HELP CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-333-3800
Mailing Address - Street 1:1851 HERITAGE LN STE 187
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-4922
Mailing Address - Country:US
Mailing Address - Phone:916-333-3800
Mailing Address - Fax:916-550-1777
Practice Address - Street 1:2500 MARCONI AVE STE 100
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-4856
Practice Address - Country:US
Practice Address - Phone:916-485-4175
Practice Address - Fax:916-425-2673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA01268508Medicaid