Organization
FOLSOM STREET MEDICAL AND MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STAN SHARMA PHD (MANAGER)
(661) 254-6630
Entity
Organization
Contact information
Practice address
10089 FOLSOM BLVD, RANCHO CORDOVA, CA 95670-1935
(916) 366-6531
(916) 366-6532
Mailing address
26460 SUMMIT CIR, SANTA CLARITA, CA 91350-2991
(661) 254-6630
(661) 254-6644
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
0000
CA
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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