| NPI | 1508944760 |
|---|---|
| Other Name | RUSCH HOME |
| Entity Type | Organization |
| Authorized Contact | MARILEE SULLIVAN Program Administrator 916-971-7640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA 0000) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |