Provider First Line Business Practice Location Address:
DEPARTMENT OF MENTAL HEALTH
Provider Second Line Business Practice Location Address:
2155 IRON POINT RD
Provider Business Practice Location Address City Name:
FOLSOM
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95630
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-817-5629
Provider Business Practice Location Address Fax Number:
916-817-5610
Provider Enumeration Date:
12/06/2007