Organization
ANOTHER CHOICE, ANOTHER CHANCE
Active
Other names
Folsom High School
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STAR CANNON CADC II (PROGRAMS MANAGER/DIRECTOR)
(916) 388-9418
Entity
Organization
Contact information
Practice address
955 RILEY ST, FOLSOM, CA 95630-3002
(916) 294-9809
(916) 388-9273
Mailing address
7000 FRANKLIN BLVD STE 625, SACRAMENTO, CA 95823-1884
(916) 388-9418
(916) 388-9273
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3434
—
CA
Enumeration date
01/31/2008
Last updated
07/17/2014
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