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806 W 19th St Merced CA 95340-4609 | |
| (209) 726-3090 | |
| (209) 721-3139 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 806 W 19th St, Merced, California |
| Authorized Official Name and Position | Vernon Brown (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6508664080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
400 Oyster Point Blvd Suite 501 South San Francisco CA 94080-1904 Ph: (650) 866-4080 | 806 W 19th St Merced CA 95340-4609 Ph: (209) 726-3090 |
| NPI Number | 1023327376 |
|---|---|
| Provider Enumeration Date | 10/05/2010 |
| Last Update Date | 10/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023327376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 415200481 (California) | Primary |
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