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INITIAL TREATMENT PROVIDER APPLICATION - California
initial treatment provider application . state of california health and human services agency department of health careservices substance use disorder compliance division, ms 2600 licensing and certification section po box 997413 sacramento, ca 95899-7413 (916) 322-2911 fax (916) 322-2658 tty (916) 445-1942. dhcs 6002 (rev. 06/16)
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