Mhsa-cys Foster Youth Fsp | |
620 N Aurora St Stockton CA 95202-2343 | |
(209) 468-8700 | |
(209) 468-2399 |
Full Name | Mhsa-cys Foster Youth Fsp |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 620 N Aurora St, Stockton, California |
Authorized Official Name and Position | Genevieve Valentine (DIRECTOR, BEHAVIORAL HEALTH SERVICE) |
Authorized Official Contact | 2094688750 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mhsa-cys Foster Youth Fsp 1212 N California St Stockton CA 95202-1552 Ph: (209) 468-9815 | Mhsa-cys Foster Youth Fsp 620 N Aurora St Stockton CA 95202-2343 Ph: (209) 468-8700 |
NPI Number | 1104012459 |
---|---|
Provider Enumeration Date | 09/20/2007 |
Last Update Date | 05/10/2024 |
Certification Date | 05/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104012459 | NPI | - | NPPES |
9096 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (California) | Primary |
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› Verified 4 days ago
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