Sjc-crisis Stabilization Units Involuntary/voluntary/adolescent | |
1212 N California St Stockton CA 95202-1552 | |
(209) 468-8686 | |
(209) 468-2399 |
Full Name | Sjc-crisis Stabilization Units Involuntary/voluntary/adolescent |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1212 N California St, Stockton, California |
Authorized Official Name and Position | Genevieve Valentine (DIRECTOR-BEHAVIORAL HEALTH SERVICES) |
Authorized Official Contact | 2094688750 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sjc-crisis Stabilization Units Involuntary/voluntary/adolescent 1212 N California St Stockton CA 95202-1552 Ph: (209) 468-8778 | Sjc-crisis Stabilization Units Involuntary/voluntary/adolescent 1212 N California St Stockton CA 95202-1552 Ph: (209) 468-8686 |
NPI Number | 1043515083 |
---|---|
Provider Enumeration Date | 01/24/2011 |
Last Update Date | 05/08/2024 |
Certification Date | 05/08/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043515083 | NPI | - | NPPES |
9032 | Other | CA | MEDI-CAL |
ZZZ89455Z | Other | CA | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (California) | Primary |
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