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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