Integrated Forensic Team - Day Reporting Center Substance Use Disorder | |
190 E. Hackett Road Modesto CA 95358-9450 | |
(209) 525-7218 | |
Not Available |
Full Name | Integrated Forensic Team - Day Reporting Center Substance Use Disorder |
---|---|
Speciality | Community/behavioral Health |
Location | 190 E. Hackett Road, Modesto, California |
Authorized Official Name and Position | Ruben Imperial (BEHAVIORAL HEALTH INTERIM DIRECTOR) |
Authorized Official Contact | 2095256108 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Integrated Forensic Team - Day Reporting Center Substance Use Disorder 800 Scenic Dr Modesto CA 95350-6131 Ph: (209) 525-6225 | Integrated Forensic Team - Day Reporting Center Substance Use Disorder 190 E. Hackett Road Modesto CA 95358-9450 Ph: (209) 525-7218 |
NPI Number | 1053882035 |
---|---|
Provider Enumeration Date | 12/17/2018 |
Last Update Date | 10/11/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053882035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
News Archive
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