O'connor Woods Housing Corp | |
3400 Wagner Heights Rd Stockton CA 95209-4843 | |
(209) 476-4036 | |
(209) 476-4042 |
Full Name | O'connor Woods Housing Corp |
---|---|
Speciality | Community/behavioral Health |
Location | 3400 Wagner Heights Rd, Stockton, California |
Authorized Official Name and Position | Admira Masic (CONTROLLER) |
Authorized Official Contact | 2099563484 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
O'connor Woods Housing Corp 3400 Wagner Heights Rd Stockton CA 95209 Ph: (209) 476-4036 | O'connor Woods Housing Corp 3400 Wagner Heights Rd Stockton CA 95209-4843 Ph: (209) 476-4036 |
NPI Number | 1033648084 |
---|---|
Provider Enumeration Date | 06/05/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033648084 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (California) | Primary |
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