Organization
JAIL PSYCH SERVICES UCDMC
Active
Organization
JAIL PSYCH SERVICES UCDMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL SCOTT FISKE RN (ADMINISTRATIVE NURSE)
(916) 874-6468
Entity
Organization
Contact information
Practice address
651 I ST, SACRAMENTO, CA 95814-2400
(916) 874-5222
Mailing address
1625 26TH ST, SACRAMENTO, CA 95816-6901
(916) 284-1635
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
049038
CA
Other
Enumeration date
08/05/2006
Last updated
08/22/2020
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