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Organization
SAN JUAN UNIFIED SCHOOL DISTRICT
Active
Organization
SAN JUAN UNIFIED SCHOOL DISTRICT
Active
Other names
Rusch Home
Organization subpart
No
Provider details
NPI number
Authorized official
MARILEE SULLIVAN MFT (PROGRAM ADMINISTRATOR)
(916) 971-7640
Entity
Organization
Contact information
Practice address
7301 ANTELOPE RD, CITRUS HEIGHTS, CA 95621-2002
(916) 728-3179
Mailing address
7301 ANTELOPE RD, CITRUS HEIGHTS, CA 95621-2002
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
0000
CA
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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