Folsom High School | |
955 Riley St Folsom CA 95630-3002 | |
(916) 294-9809 | |
(916) 388-9273 |
Full Name | Folsom High School |
---|---|
Speciality | Community/behavioral Health |
Location | 955 Riley St, Folsom, California |
Authorized Official Name and Position | Star Cannon (PROGRAMS MANAGER/DIRECTOR) |
Authorized Official Contact | 9163889418 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Folsom High School 7000 Franklin Blvd Ste 625 Sacramento CA 95823-1884 Ph: (916) 388-9418 | Folsom High School 955 Riley St Folsom CA 95630-3002 Ph: (916) 294-9809 |
NPI Number | 1508044652 |
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Provider Enumeration Date | 01/31/2008 |
Last Update Date | 07/17/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508044652 | NPI | - | NPPES |
3434 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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