Children's Intensive Community Support - Mental Health Clinic in Modesto, CA

Children's Intensive Community Support is a mental health clinic (Community/behavioral Health) in Modesto, California. The current practice location for Children's Intensive Community Support is 421 E Morris Ave Bldg A, Modesto, California. For appointments, you can reach them via phone at (209) 558-7494. The mailing address for Children's Intensive Community Support is 1601 I St., Ste. 200, 2nd Fl., Modesto, California and phone number is (209) 525-6225.

Children's Intensive Community Support is licensed to practice in * (Not Available) (license number ) and its NPI number is 1043348485. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (209) 558-7494.

Contact Information

Children's Intensive Community Support
421 E Morris Ave Bldg A
Modesto
CA 95354-0437
(209) 558-7494
Not Available

Mental Health Clinic Profile

Full NameChildren's Intensive Community Support
SpecialityCommunity/behavioral Health
Location421 E Morris Ave Bldg A, Modesto, California
Authorized Official Name and PositionTony Vartan (BEHAVIORAL HEALTH DIRECTOR)
Authorized Official Contact2095256225
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Children's Intensive Community Support
1601 I St., Ste. 200, 2nd Fl.
Modesto
CA 95354-1110

Ph: (209) 525-6225
Children's Intensive Community Support
421 E Morris Ave Bldg A
Modesto
CA 95354-0437

Ph: (209) 558-7494

NPI Details:

NPI Number1043348485
Provider Enumeration Date02/28/2007
Last Update Date04/30/2024
Certification Date04/30/2024

Medical Identifiers

Medical identifiers for Children's Intensive Community Support such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043348485NPI-NPPES
ZZZ15535ZOtherMEDICARE ID
5024MedicaidCA
ZZZ15529ZOtherMEDICARE ID
ZZZ15533ZOtherMEDICARE ID
ZZZ15536ZOtherMEDICARE ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health (* (Not Available))Primary

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Community/Behavioral Health in Modesto, CA

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